person
Charles Idemudia
Licensed Practical Nurse in Surprise, Arizona
NPI 1013636612

Charles Idemudia is a Licensed Practical Nurse based in Surprise, AZ. Charles Idemudia practices in Surprise, AZ. The NPI Number for Charles Idemudia is 1013636612 and holds a License No. LP039775 (Arizona).

The current practice location address for Charles Idemudia is 16088 W Soft Wind Dr, Surprise, AZ and can be reached out via phone at 602-327-6605.

Location: 16088 W Soft Wind Dr, Surprise, AZ, 85387-1668
person
Provider Profile Details
NPI Number
1013636612
Provider Name
Charles Idemudia
Credential
Provider Entity Type
Individual
Gender
Male
Address
16088 W Soft Wind Dr, Surprise, AZ, 85387-1668
Phone Number
602-327-6605
Fax Number
Provider Enumeration Date
08/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
16088 W Soft Wind Dr
City
State
Zip
85387-1668
Phone Number
602-327-6605
Fax Number
person
Provider Business Mailing Address Details
Address
16088 W Soft Wind Dr
City
State
Zip
85387-1668
Phone Number
602-327-6605
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
LP039775 (Arizona)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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