IndividualActive
Chidiebere Iheanacho
NPI 1598549370 · Acute Care Nurse Practitioner · North Salt Lake, UT
Provider details
- NPI number
- 1598549370
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 8326025-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
175 Odell Ln
North Salt Lake, UT 84054-4100
Phone: (801) 867-0632
Approximate (ZIP-level) locationGet directions
Mailing address
175 Odell Ln
North Salt Lake, UT 84054-4100
Additional practice locations (1)
- 3336 S Pioneer Pkwy Ste 203West Valley City, UT 84120-6077Phone: (801) 290-7153Fax: (801) 748-0113
Registry dates
- Enumerated
- 2023-08-22
- Last updated
- 2025-12-29
- Certified
- 2025-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.