Dr. Bashira Charles, PHD, RN, CRNP
Nurse Practitioner, Pediatrics in Philadelphia, Pennsylvania
1861999542- Practice location
- 440 North Broad Street, Student Health Services, Philadelphia, PA 10130-4015
- Phone
- 215-400-5704
- Fax
- 215-400-4173
- Last updated
- April 10, 2018
Bashira Charles is a Nurse Practitioner, Pediatrics based in Philadelphia, PA. Bashira Charles practices in Philadelphia, PA and has the professional credentials of PHD, RN, CRNP. The NPI Number for Bashira Charles is 1861999542 and holds a License No. SP008021 (PA). The current practice location address for Bashira Charles is 440 North Broad Street, Student Health Services, Philadelphia, PA 10130-4015 and can be reached out via phone at 215-400-5704 and via fax at 215-400-4173.
Provider Profile Details
- NPI Number
- 1861999542
- Provider Name
- Bashira Charles
- Credential
- PHD, RN, CRNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 440 North Broad Street, Student Health Services, Philadelphia, PA 10130-4015
- Phone Number
- 215-400-5704
- Fax Number
- 215-400-4173
- Primary Taxonomy
- Nurse Practitioner, Pediatrics · 363LP0200X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 10, 2018
- Last Update Date
- April 10, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 440 North Broad Street
Student Health Services
Philadelphia, PA 10130-4015 - City
- Philadelphia
- State
- Pennsylvania
- Zip
- 10130-4015
- Phone Number
- 215-400-5704
- Fax Number
- 215-400-4173
Provider Business Mailing Address Details
- Address
- 738 Landis St
Philadelphia, PA 19124-3011 - City
- Philadelphia
- State
- PA
- Zip
- 19124-3011
- Phone Number
- 215-225-0325
- Fax Number
- 215-400-4173
License Information
- License Number
- SP008021
- License State
- PA
- Taxonomy
- Nurse Practitioner, Pediatrics · 363LP0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Bashira Charles, PHD, RN, CRNP?
The NPI number of Dr. Bashira Charles, PHD, RN, CRNP is 1861999542. It was assigned on April 10, 2018 and is currently active in the NPPES registry.
What is the specialty of Dr. Bashira Charles, PHD, RN, CRNP?
Dr. Bashira Charles, PHD, RN, CRNP is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in PA under license number SP008021.
Where does Dr. Bashira Charles, PHD, RN, CRNP practice?
The practice location is 440 North Broad Street, Student Health Services, Philadelphia, PA 10130-4015. The office can be reached at 215-400-5704 (phone) or 215-400-4173 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861999542 directly on the NPPES registry website.