Individual
MR. CHARLES CHAKUNTEH NKAMJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
207 SCOTT ST, WILKES BARRE, PA 18702-5518
(917) 687-4307
Mailing address
207 SCOTT ST, WILKES BARRE, PA 18702-5518
(917) 687-4307
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
145116
TX
163W00000X
Registered Nurse
26NJ00493200
NJ
163W00000X
Registered Nurse
26NR17106700
NJ
163W00000X
Registered Nurse
534450-1
NY
163W00000X
Registered Nurse
RN581266
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
082997
PA
Other
Enumeration date
02/24/2012
Last updated
03/09/2015
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