MR. CHARLES IOKEPA WILLIAMS NP-C NPI 1659625879

NPI Information

MR. Charles Iokepa Williams, NP-C is an adult health nurse practitioner in St. Louis Park, MN with 12 years of experience. MR. Charles Iokepa Williams, NP-C NPI is 1659625879. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2012

The provider's business location address is:

1660 HWY 100 SOUTH
SUITE 145
ST. LOUIS PARK, MN
ZIP 55416-562
Phone: (952) 456-6160
Fax: (952) 456-6184

The NPI 1659625879 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/9/2012 and was last updated on 4/19/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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