Individual provider · Type 1 NPI
Charles Iokepa Williams, NP-C
Adult Health Nurse Practitioner · St. Louis Park, MN
NPI number
1659625879
Active
Practice location
1660 Hwy 100 South, Suite 145
St. Louis Park, MN 55416-1562
Fax (952) 456-6184
Mailing address
1660 Highway 100 South, Suite 145
St. Louis Park, MN 55416-1562
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 166936-9 (MN) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | R166936-9 (MN) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1659625879
Charles Iokepa Williams, NP-C's National Provider Identifier is 1659625879, issued on Nov 9, 2012. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in St. Louis Park, MN. The record was last updated on Apr 19, 2013.