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

Annika Elizabeth Dethlefs, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1013627165

Annika Elizabeth Dethlefs, FNP-BC is a Nurse Practitioner in Folsom, California. Graduated from Vanderbilt University School of Medicine in 2022, 4 years ago. Practices with Healthy Living Primary Care Inc, a 20-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
4
Trained at
Vanderbilt University School of Medicine
Licensed in
CA
In the registry since
2022
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

82 Clarksville Rd Ste 120
Folsom, CA 95630-8210
Phone: (916) 983-8868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95023461 (CA)

Record details

NPI number1013627165
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedNovember 30, 2022
Last updated in NPPESJanuary 15, 2024
Certification dateJanuary 15, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Healthy Living Primary Care Inc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Folsom