Individual provider · Type 1 NPI

Chidiebere Iheanacho

Acute Care Nurse Practitioner · North Salt Lake, UT

NPI number 1598549370 Active

Practice location

175 Odell Ln
North Salt Lake, UT 84054-4100

Call (801) 867-0632 Map

Other practice locations

3336 S Pioneer Pkwy Ste 203, West Valley City, UT 84120-6077 · (801) 290-7153

Specialties and licenses

Taxonomy	Code	License
Acute Care Nurse Practitioner Primary	363LA2100X	8326025-4405 (UT)

Acute Care Nurse Practitioner: Definition to come...

About NPI 1598549370

Chidiebere Iheanacho's National Provider Identifier is 1598549370, issued on Aug 22, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in North Salt Lake, UT. The record was last updated on Dec 29, 2025.