SearchArizonaLicensed 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