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

Charmiqua Audrelle Pham

Individual provider Nurse Practitioner · NPI 1518569805

Charmiqua Audrelle Pham is a Nurse Practitioner in Saint Paul, Minnesota. Qualified in 2015, 11 years ago. Practices with Planned Parenthood Mn, ND, Sd, a 29-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2020
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Practice location Address checks out

671 Vandalia St
Saint Paul, MN 55114-1312
Phone: (651) 698-2406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 6608 (MN)

Record details

NPI number1518569805
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 11, 2020
Last updated in NPPESApril 28, 2022
Certification dateMay 13, 2021
Mailing address671 Vandalia St, Saint Paul, MN 55114-1312

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Planned Parenthood Mn, Nd, Sd — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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