ANTHONY I ODIMEGWU NPI 1063938603

NPI Information

NPI: 1063938603
Provider Name: ANTHONY I ODIMEGWU
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
26062 BERCAW CT
MORENO VALLEY, CA
ZIP 92555
Phone: (909) 255-5786
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Anthony I Odimegwu is a family nurse practitioner in Moreno Valley, CA. Anthony I Odimegwu NPI is 1063938603. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

26062 BERCAW CT
MORENO VALLEY, CA
ZIP 92555
Phone: (909) 255-5786

The enumeration date for this NPI number is 8/16/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	95006412	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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