Individual
ROSE NGOZI ODIMEGWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1200 BRUSH HILL RD, MILTON, MA 02186-2337
(617) 913-3340
Mailing address
29 BROOKSIDE DR, MIDDLEBORO, MA 02346-3148
(781) 510-9793
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
211849
MA
363LF0000X
Family Nurse Practitioner
Primary
RN211849
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110093957A
—
MA
Enumeration date
05/01/2007
Last updated
12/15/2014
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