Odimegwu, Rose Ngozi

Odimegwu, Rose Ngozi is an individual health care provider with primary practice located at 1200 Brush Hill Rd , Milton MA 02186-2337. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Odimegwu, Rose Ngozi can be contacted via phone (617) 913-3340.

Contact Information

Primary practice address
1200 Brush Hill Rd Milton MA 02186-2337
Phone: (617) 913-3340
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 211849 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN211849 Massachusetts

Profile Details

NPI number 1154542652
LBN Legal business name Odimegwu, Rose Ngozi
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2007
Last updated Dec 15th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154542652 NPPES
Massachusetts MEDICAID 110093957A

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