Individual
ANNIKA ELIZABETH DETHLEFS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
82 CLARKSVILLE RD STE 120, FOLSOM, CA 95630-8210
(916) 983-8868
Mailing address
965 WILSON BLVD APT 1331, EL DORADO HILLS, CA 95762-7262
(916) 817-0512
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95023461
CA
Other
Enumeration date
11/30/2022
Last updated
01/15/2024
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