Organization · NPI-2

Affirm Psychiatric Nursing INC

Nurse Practitioner, Psych/Mental Health · Sacramento, CA

NPI number1033072509

StatusActive

Last updated in NPPESMay 26, 2026

Details

NPI: 1033072509
Entity type: Organization (NPI-2)
Legal business name: Affirm Psychiatric Nursing INC
Organization subpart: No
Enumeration date: Dec 3, 2025
Certification date: May 26, 2026
Last updated: May 26, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LP0808X	Nurse Practitioner, Psych/Mental Health	–	–	Yes
163WP0807X	Registered Nurse, Psych/Mental Health, Child & Adolescent	–	–
163WP0809X	Registered Nurse, Psych/Mental Health, Adult	–	–
101YM0800X	Counselor, Mental Health	–	–

Practice location

717 K St Ste 529
Sacramento, CA 95814-3418

Phone 916-895-6095

Mailing address

8593 Camilla Ct
Elk Grove, CA 95757-6405

Phone 916-895-6095

Authorized official

Fidelis Ekata Azeke
Chief Executive Officer
9168956095

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