Individual
CHIDIEBERE IHEANACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 ODELL LN, NORTH SALT LAKE, UT 84054-4100
(801) 867-0632
Mailing address
175 ODELL LN, NORTH SALT LAKE, UT 84054-4100
(801) 867-0632
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
8326025-4405
UT
Other
Enumeration date
08/22/2023
Last updated
12/29/2025
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