Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Aniema James Etukudoh

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1902772544

Aniema James Etukudoh is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2025
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Practice location Address checks out

3033 N Central Ave Ste 145
Phoenix, AZ 85012-2808
Phone: (480) 964-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 242681 (AZ)

Record details

NPI number1902772544
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 13, 2025
Last updated in NPPESJanuary 18, 2026
Certification dateJanuary 18, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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