Individual provider · Type 1 NPI

Charlie Imonah, FNP

Family Nurse Practitioner · Pawtucket, RI

NPI number 1659770642 Active

Practice location

39 East Ave
Pawtucket, RI 02860-4003

Fax (401) 312-0318

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNPP37898 (RI)

Family Nurse Practitioner: Definition to come...

31 other providers at this address

Other family nurse practitioner providers in Pawtucket

See all in Pawtucket →

About NPI 1659770642

Charlie Imonah, FNP's National Provider Identifier is 1659770642, issued on Aug 15, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pawtucket, RI. The record was last updated on Dec 6, 2014.