ROSELINE IGHO ENOBAKHARE


Address: 13431 Nottingham Ave, Moreno Valley, CA 92555-8413
Phone: 9515002356

ROSELINE IGHO ENOBAKHARE (NPI# 1730721861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730721861
Entity Type Individual
Full Name ROSELINE IGHO ENOBAKHARE
Credential FNP
Practice Address 13431 Nottingham Ave
Moreno Valley
CA 92555-8413
Mailing Address 13431 Nottingham Ave
Moreno Valley
CA 92555
Practice Telephone 9515002356
Mailing Telephone 9515002356
Enumeration Date 2019-10-10
Last Update Date 2019-10-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
95012998 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 13431 NOTTINGHAM AVE
City MORENO VALLEY
State CA
Zip Code 92555-8413

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NPI Name Taxonomy Address Enumeration
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1063938603 Anthony I Odimegwu Nurse Practitioner 26062 Bercaw Ct, Moreno Valley, CA 92555 2017-08-16
1073036703 Karen Parker Licensed Psychiatric Technician 12944 Dolomite Lane, Moreno Valley, CA 92555 2017-07-25
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851999718 La Creasure White Nurse Practitioner 10271 Prospector Ln, Moreno Valley, CA 92557-4238 2020-10-13
1255945200 Michael Jay Rendle Nurse Practitioner 12032 Champlain St, Moreno Valley, CA 92557-7713 2020-09-06
1013553064 Natasha Mirella Ramirez Nurse Practitioner 22575 Cobble Creek Dr, Moreno Valley, CA 92557-2617 2019-11-25
1225690449 Jeremiah Umeh Nurse Practitioner 13072 Day St # A301, Moreno Valley, CA 92553-7334 2019-07-09
1679044093 Reni Zachariah Nurse Practitioner 24318 Hemlock Ave Ste E1, Moreno Valley, CA 92557-7225 2018-12-11
1336647742 Sherle Glenn Rubin Nurse Practitioner 13845 Roderick Dr, Moreno Valley, CA 92555-6117 2018-01-31
1689186975 Linda Yvette Perez Nurse Practitioner 22635 Alessandro Blvd Ste A, Moreno Valley, CA 92553-8550 2017-10-26
1063938603 Anthony I Odimegwu Nurse Practitioner 26062 Bercaw Ct, Moreno Valley, CA 92555 2017-08-16
1386195212 Myla Lara Natividad Nurse Practitioner 26323 Old Anvil Ln, Moreno Valley, CA 92555-2935 2016-10-14
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Competitor

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City MORENO VALLEY
Zip Code 92555

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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