Provider Demographics
NPI:1477858470
Name:KHUMALO, CHARITY NOKUTHULA (RN)
Entity Type:Individual
Prefix:MS
First Name:CHARITY
Middle Name:NOKUTHULA
Last Name:KHUMALO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2926 HONE AVENUE
Mailing Address - Street 2:APT I
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469
Mailing Address - Country:US
Mailing Address - Phone:718-938-8954
Mailing Address - Fax:
Practice Address - Street 1:2926 HONE AVENUE
Practice Address - Street 2:APT I
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469
Practice Address - Country:US
Practice Address - Phone:718-938-8954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-21
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY636688-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse