Individual provider · Type 1 NPI
Fidelis Ekata Azeke, PMH-NP
Psychiatric/Mental Health Nurse Practitioner · Sacramento, CA
NPI number
1861077034
Active
Practice location
401 S St
Sacramento, CA 95811-6919
Fax (916) 914-2462
Mailing address
PO Box 2616
Elk Grove, CA 95759-2616
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 95016272 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95016272 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1861077034
Fidelis Ekata Azeke, PMH-NP's National Provider Identifier is 1861077034, issued on Mar 10, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Sacramento, CA. The record was last updated on Mar 12, 2025.