Physician Assistant, Medical
Ms. CHARLA PHOENIX PAC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1942502992 · enumerated 2010-11-24 · record updated 2025-01-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 200 HYGEIA DR STE 1420, NEWARK, DE, 19713-2049 (302) 623-3017 Fax (302) 266-9962 Google Maps Apple Maps OpenStreetMap
- Mailing address 620 STANTON CHRISTIANA RD, SUITE 302, NEWARK, DE, 19713-2133 (302) 892-9400 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · License C0009749 MD
- Physician Assistant, Medical 363AM0700X · Primary · License C5-0000735 DE
In this directory
Locations and evidence
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Practice location
NEWARK, DE, 197132049
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.