Provider Demographics
NPI:1316142730
Name:CHARRON-MUSKAT, NANCY ANN (PA-C, MMS)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:ANN
Last Name:CHARRON-MUSKAT
Suffix:
Gender:F
Credentials:PA-C, MMS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:485 HOLIDAY DR
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-6519
Mailing Address - Country:US
Mailing Address - Phone:954-457-3528
Mailing Address - Fax:954-927-2231
Practice Address - Street 1:603 N FLAMINGO RD
Practice Address - Street 2:SUITE 350
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33028-1023
Practice Address - Country:US
Practice Address - Phone:954-435-5100
Practice Address - Fax:954-435-5816
Is Sole Proprietor?:No
Enumeration Date:2007-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL9102954363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant