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

Innocent Idusuyi

Individual provider Registered Nurse · NPI 1811719511

Innocent Idusuyi is a Registered Nurse in Clovis, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

2766 Keats Ave
Clovis, CA 93611-6965
Phone: (559) 701-5394
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 95136042 (CA)

Record details

NPI number1811719511
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 25, 2024
Last updated in NPPESNovember 10, 2024
Certification dateNovember 10, 2024
Mailing address2766 Keats Ave, Clovis, CA 93611-6965

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