Individual
BEATRICE OYIDIYA AKANIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11242 LUKE ST, RIVERSIDE, CA 92505-2590
(195) 153-1545
Mailing address
11242 LUKE ST, RIVERSIDE, CA 92505-2590
(195) 153-1545
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95019748
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95019748
NURSE PRACTITIONER
CA
Enumeration date
03/17/2022
Last updated
03/17/2022
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