Charles Idemudia, - Licensed Practical Nurse in Surprise, AZ

Charles Idemudia, is a Licensed Practical Nurse based in Surprise, Arizona. Charles Idemudia is licensed to practice in Arizona (license number LP039775) and his current practice location is 16088 W Soft Wind Dr, Surprise, Arizona. He can be reached at his office (for appointments etc.) via phone at (602) 327-6605.

NPI number for Charles Idemudia is 1013636612 and his current mailing address is 16088 W Soft Wind Dr, Surprise, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013636612.

Contact Information

Charles Idemudia,
16088 W Soft Wind Dr,
Surprise, AZ 85387-1668
(602) 327-6605
Not Available



Provider's Profile

Full NameCharles Idemudia
GenderMale
SpecialityLicensed Practical Nurse
Location16088 W Soft Wind Dr, Surprise, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013636612
  • Provider Enumeration Date: 08/25/2022
  • Last Update Date: 08/25/2022

Medical Identifiers

Medical identifiers for Charles Idemudia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013636612NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse LP039775 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Idemudia is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charles Idemudia,
16088 W Soft Wind Dr,
Surprise, AZ 85387-1668

Ph: (602) 327-6605
Charles Idemudia,
16088 W Soft Wind Dr,
Surprise, AZ 85387-1668

Ph: (602) 327-6605

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› Verified 5 days ago


Licensed Practical Nurse Nurses in Surprise, AZ

Elizabeth Gonzales, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 15802 N Parkview Pl, Surprise, AZ 85374
Phone: 623-876-7790    Fax: 623-876-7761
Arlene Marie Lozano,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 14898 W Acoma Dr, Surprise, AZ 85379
Phone: 623-523-8340    
Mrs. Deborah Ann Leisure, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 15034 N Parkview Pl, Surprise, AZ 85379
Phone: 623-876-7804    Fax: 623-876-7811
Denise Plott,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 13825 W Desert Cove Rd, Surprise, AZ 85379
Phone: 623-876-7923    
Monique Smith,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 17927 N Parkview Pl, Surprise, AZ 85374
Phone: 708-595-6884    
Kimberly Sabidong, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 15802 N Parkview Pl, Surprise, AZ 85374
Phone: 623-876-7490    

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