Mr. Charles Jay Bawcom, APRN-RNP
Mr. Charles Jay Bawcom, APRN-RNP is a Nurse Practitioner in Grand Canyon, Arizona. Qualified in 2020, 6 years ago. Practices with Medical Associates of Northern New Mexico, a 14-clinician group and accepts Medicare assignment. Licensed in Arizona.
- Years since qualifying
- 6
- Licensed in
- AZ
- In the registry since
- 2020
Practice location Address checks out
1 Clinic Rd # 369Grand Canyon, AZ 86023-0290
Phone: (928) 638-2551
Fax: (928) 638-2598
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 241530 (AZ) |
|---|
Record details
| NPI number | 1801419841 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | APRN-RNP |
| Sole proprietor | No |
| NPI enumerated | May 26, 2020 |
| Last updated in NPPES | April 21, 2026 |
| Certification date | April 21, 2026 |
| Mailing address | Po Box 1231, Tucson, AZ 85702-1231 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Medical Associates Of Northern New Mexico — 14 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Grand Canyon
-
Krystal D Carey, FNP
1 Clinic Rd, Grand Canyon, AZ 86023-0000 · (928) 638-2551