Provider Demographics
NPI:1922432640
Name:EMENIKE- ANIEROBI, CHRISTINE NNEKA (FNP, PMHNP)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:NNEKA
Last Name:EMENIKE- ANIEROBI
Suffix:
Gender:F
Credentials:FNP, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3055 W RAMSEY ST
Mailing Address - Street 2:
Mailing Address - City:BANNING
Mailing Address - State:CA
Mailing Address - Zip Code:92220-3781
Mailing Address - Country:US
Mailing Address - Phone:951-358-5077
Mailing Address - Fax:
Practice Address - Street 1:3055 W RAMSEY ST
Practice Address - Street 2:
Practice Address - City:BANNING
Practice Address - State:CA
Practice Address - Zip Code:92220-3781
Practice Address - Country:US
Practice Address - Phone:951-358-5077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-29
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23289363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily