Individual provider · Type 1 NPI

Charles Idemudia

Licensed Practical Nurse · Surprise, AZ

NPI number 1013636612 Active

Practice location

16088 W Soft Wind Dr
Surprise, AZ 85387-1668

Call (602) 327-6605 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP039775 (AZ)

Licensed Practical Nurse: 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.

Another provider at this address

Other licensed practical nurse providers in Surprise

See all in Surprise →

About NPI 1013636612

Charles Idemudia's National Provider Identifier is 1013636612, issued on Aug 25, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Surprise, AZ. The record was last updated on Aug 25, 2022.