Provider Demographics
NPI:1508046707
Name:WARD, CHARME ALICIA
Entity Type:Individual
Prefix:
First Name:CHARME
Middle Name:ALICIA
Last Name:WARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 SYCAMORE WOODS BLVD
Mailing Address - Street 2:
Mailing Address - City:TROTWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45426-3896
Mailing Address - Country:US
Mailing Address - Phone:937-837-1055
Mailing Address - Fax:
Practice Address - Street 1:8000 SYCAMORE WOODS BLVD
Practice Address - Street 2:
Practice Address - City:TROTWOOD
Practice Address - State:OH
Practice Address - Zip Code:45426-3896
Practice Address - Country:US
Practice Address - Phone:937-837-1055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN335111163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse