Charlie Imonah, FNP
Nurse Practitioner, Family in Pawtucket, Rhode Island
1659770642- Practice location
- 39 East Ave, Pawtucket, RI 02860-4003
- Phone
- 401-722-0081
- Fax
- 401-312-0318
- Last updated
- December 6, 2014
Charlie Imonah is a Nurse Practitioner, Family based in Pawtucket, RI. Charlie Imonah practices in Pawtucket, RI and has the professional credentials of FNP. The NPI Number for Charlie Imonah is 1659770642 and holds a License No. NPP37898 (RI). The current practice location address for Charlie Imonah is 39 East Ave, Pawtucket, RI 02860-4003 and can be reached out via phone at 401-722-0081 and via fax at 401-312-0318.
Provider Profile Details
- NPI Number
- 1659770642
- Provider Name
- Charlie Imonah
- Credential
- FNP
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 39 East Ave, Pawtucket, RI 02860-4003
- Phone Number
- 401-722-0081
- Fax Number
- 401-312-0318
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 15, 2014
- Last Update Date
- December 6, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 39 East Ave
Pawtucket, RI 02860-4003 - City
- Pawtucket
- State
- Rhode Island
- Zip
- 02860-4003
- Phone Number
- 401-722-0081
- Fax Number
- 401-312-0318
Provider Business Mailing Address Details
- Address
- 39 East Ave
Pawtucket, RI 02860-4003 - City
- Pawtucket
- State
- RI
- Zip
- 02860-4003
License Information
- License Number
- NPP37898
- License State
- RI
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · 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 Charlie Imonah, FNP?
The NPI number of Charlie Imonah, FNP is 1659770642. It was assigned on August 15, 2014 and is currently active in the NPPES registry.
What is the specialty of Charlie Imonah, FNP?
Charlie Imonah, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in RI under license number NPP37898.
Where does Charlie Imonah, FNP practice?
The practice location is 39 East Ave, Pawtucket, RI 02860-4003. The office can be reached at 401-722-0081 (phone) or 401-312-0318 (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 1659770642 directly on the NPPES registry website.