Individual
ROSE N GACUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(507) 358-9074
Mailing address
PO BOX 18139, RALEIGH, NC 27619-8139
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R161269
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
085065
NC
367500000X
Certified Registered Nurse Anesthetist
27844
SC
Other
Enumeration date
07/19/2010
Last updated
10/19/2023
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