Search › Arizona › Licensed Practical Nurse
Charles Idemudia
NPI 1013636612 · on the registry since 2022
Practice
- Address
- 16088 W Soft Wind Dr
Surprise, AZ 85387 - Phone
- (602) 327-6605
- Organisation at this address
- Supreme Healthcare Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Licensed Practical Nurse
164W00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona