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Chidiebere Iheanacho
Acute Care Nurse Practitioner in North Salt Lake, Utah
NPI 1598549370

Chidiebere Iheanacho is an Acute Care Nurse Practitioner based in North Salt Lake, UT and is specialized in Acute Care. Chidiebere Iheanacho practices in North Salt Lake, UT. The NPI Number for Chidiebere Iheanacho is 1598549370 and holds a License No. 8326025-4405 (Utah).

The current practice location address for Chidiebere Iheanacho is 175 Odell Ln, North Salt Lake, UT and can be reached out via phone at 801-867-0632.

Location: 175 Odell Ln, North Salt Lake, UT, 84054-4100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598549370
Provider Name
Chidiebere Iheanacho
Credential
Provider Entity Type
Individual
Gender
Female
Address
175 Odell Ln, North Salt Lake, UT, 84054-4100
Phone Number
801-867-0632
Fax Number
Provider Enumeration Date
08/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
175 Odell Ln
City
North Salt Lake
State
Utah
Zip
84054-4100
Phone Number
801-867-0632
Fax Number
person
Provider Business Mailing Address Details
Address
175 Odell Ln
City
North Salt Lake
State
Utah
Zip
84054-4100
Phone Number
801-867-0632
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
8326025-4405 (Utah)
Definition
Definition to come...
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