Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES IDEMUDIA
ActiveCHARLES IDEMUDIA is a Licensed Practical Nurse healthcare provider located in SURPRISE, Arizona. NPI 1013636612 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · SURPRISE, AZ
Registration Details
- NPI Number
- 1013636612
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 25, 2022 (3.9979510686793 yrs)
- Last Updated
- Aug 25, 2022
- License
-
LP039775 (AZ)
Practice Information
- Address
-
16088 W SOFT WIND DRSURPRISE, AZ, 853871668Browse AZ providers · Browse ZIP 85387
- Phone
- 6023276605
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in SURPRISE, AZ
| Name | Credential | NPI |
|---|---|---|
| MRS. MARIE ZANNINI | LPN | 1942330329 |
| MRS. DEBORAH ANN LEISURE | LPN | 1225168438 |
| MRS. DONNA RAE JOHNSON | L.P.N. | 1295979581 |
| MS. JENNIFER A BARRINGER | L.P.N. | 1689809923 |
| COLLEEN MENDIETA | — | 1548591159 |
| JORGE ARTURO VALENZUELA | LPN | 1295024628 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.