Individual
EBERECHUKWU OLIVIA ANICHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 703-4496
(916) 703-7411
Mailing address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 703-4496
(916) 734-7411
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95022663
CA
363LA2100X
Acute Care Nurse Practitioner
AP60890201
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720568132
—
WA
Enumeration date
08/15/2018
Last updated
10/05/2022
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