Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Walker

Individual provider Licensed Practical Nurse · NPI 1104782309

Charles Walker is a Licensed Practical Nurse in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2025.

Licensed in
PA
In the registry since
2025

Practice location Address checks out

111 N 49th St
Philadelphia, PA 19139-2718
Phone: (215) 471-2866
Fax: (215) 471-2866
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence PN081780L (PA)

Record details

NPI number1104782309
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 31, 2025
Last updated in NPPESDecember 31, 2025
Certification dateDecember 31, 2025

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