Individual
ANIEMA JAMES ETUKUDOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3033 N CENTRAL AVE STE 145, PHOENIX, AZ 85012-2808
(480) 964-2273
Mailing address
3033 N CENTRAL AVE STE 145, PHOENIX, AZ 85012-2808
(480) 964-2273
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
242681
AZ
Other
Enumeration date
10/13/2025
Last updated
01/18/2026
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