SearchRhode Island363LF0000X

Charlie Imonah, FNP

NPI 1659770642 · on the registry since 2014

Practice

Address
39 East Ave
Pawtucket, RI 02860
Phone
(401) 722-0081
Fax
(401) 312-0318
Organisation at this address
Cardinal Health 132, Llc
Blackstone Valley Community Health Care, Inc.
Blackstone Valley Community Health Care, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
30

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
RI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-12-06

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 Rhode Island