Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | NPF95010914 | CA |
N | 363LC1500X | Nurse Practitioner - Community Health | NPF95010914 | CA |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | NPF95010914 | CA |
N | 363LP2300X | Nurse Practitioner - Primary Care | NPF95010914 | CA |
NPI | 1649804386 |
---|---|
Provider Name | Ifeoma Cynthia Aniemeka I |
First Address | Gardena, CA 90247-2839 |
Second Address | Downey, CA 90242-2306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2020 |
Last Update Date | 02/03/2020 |