Provider Demographics
NPI:1922316884
Name:OYUGI, ANNE ATIENO (CRNA)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:ATIENO
Last Name:OYUGI
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10026 GRANITE TRAIL LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28214-2937
Mailing Address - Country:US
Mailing Address - Phone:177-380-7090
Mailing Address - Fax:847-615-2858
Practice Address - Street 1:2320 E 93RD ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60617-3983
Practice Address - Country:US
Practice Address - Phone:847-615-2200
Practice Address - Fax:847-615-2858
Is Sole Proprietor?:No
Enumeration Date:2010-09-14
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC20396367500000X
IL209008256367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNAN167Medicaid