Individual
ROSELINE O NWADIGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2305 GLASCOCK ST, RALEIGH, NC 27610-1601
(984) 200-5740
(984) 200-5740
Mailing address
1705 BEACON BLUFF ST, RALEIGH, NC 27604-5446
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5011108
NC
372600000X
Adult Companion
FCL092234
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2305
—
NC
Enumeration date
09/23/2017
Last updated
01/10/2019
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