Organization
AFFIRM PSYCHIATRIC NURSING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FIDELIS EKATA AZEKE PMHNP-BC (CHIEF EXECUTIVE OFFICER)
(916) 895-6095
Entity
Organization
Contact information
Practice address
9245 LAGUNA SPRINGS DR STE 200, ELK GROVE, CA 95758-7991
(916) 895-6095
Mailing address
8593 CAMILLA CT, ELK GROVE, CA 95757-6405
(916) 895-6095
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/03/2025
Last updated
04/06/2026
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