Individual provider · Type 1 NPI
Enoidem Ekiko, NP
Nurse Practitioner · Poway, CA
Practice location
12893 Glen Circle Rd
Poway, CA 92064-2029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95033959 (CA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1124991963
Enoidem Ekiko, NP's National Provider Identifier is 1124991963, issued on Sep 26, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Poway, CA. The record was last updated on Sep 26, 2025.