MEDICARE: KELECHI ANUJUO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	266413	AZ

General Provider Information

NPI Number	:	1902761091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELECHI ANUJUO

Provider Business Mailing Address
First Line	:	9811 E SUBURBAN DR
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85212-8861
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9811 E SUBURBAN DR
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85212-8861
Country	:	US
Telephone Number	:	480-299-6607
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2025
Last Update Date	:	12/19/2025

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Directions to “ KELECHI ANUJUO ” Practice Location

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