What is Charles Idemudia's NPI number?

Charles Idemudia's National Provider Identifier (NPI) is 1013636612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Charles Idemudia's specialty?

Charles Idemudia is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).

Where is Charles Idemudia located?

Charles Idemudia's practice location on file with NPPES is 16088 W Soft Wind Dr, Surprise, AZ 85387-1668.

What is Charles Idemudia's phone number?

The practice phone number listed in the NPPES registry for Charles Idemudia is (602) 327-6605.

Is Charles Idemudia's NPI active?

Yes — Charles Idemudia's NPI (1013636612) is active in the NPPES registry as of the last update on 2022-08-25.

IndividualActive

Charles Idemudia

NPI 1013636612 · Licensed Practical Nurse · Surprise, AZ

Charles Idemudia is a Licensed Practical Nurse provider in Surprise, AZ (NPI 1013636612).

Provider details

NPI number: 1013636612
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Sex: Male
Sole proprietor: No
License: LP039775 (AZ)

Specialties & taxonomies

Licensed Practical NursePrimary164W00000XLicense LP039775 (AZ)
Nursing Service Providers

Profile Score

Established profile(60/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

16088 W Soft Wind Dr

Surprise, AZ 85387-1668

Phone: (602) 327-6605

Street-level locationGet directions

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Mailing address