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

Individual provider Family Nurse Practitioner · NPI 1659770642

Charlie Imonah, FNP is a Nurse Practitioner in Pawtucket, Rhode Island. Qualified in 2014, 12 years ago. Practices with Blackstone Valley Community Health Care Inc, a 48-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
12
Licensed in
RI
In the registry since
2014
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

39 E Ave
Pawtucket, RI 02860-4003
Phone: (401) 722-0081
Fax: (401) 312-0318
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NPP37898 (RI)

Record details

NPI number1659770642
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 15, 2014
Last updated in NPPESDecember 6, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Blackstone Valley Community Health Care Inc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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