MEDICARE: ROSE I ONUOHA MSN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	5012753	NC

General Provider Information

NPI Number	:	1437789757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSE I ONUOHA MSN

Provider Business Mailing Address
First Line	:	PO BOX 265
Second Line	:
City	:	WAXHAW
State	:	NC
Zip	:	28173-1043
Country	:	US
Telephone Number	:	704-408-2963
Fax Number	:

Provider Business Practice Location Address
First Line	:	407 W KING ST
Second Line	:
City	:	KINGS MOUNTAIN
State	:	NC
Zip	:	28086-3393
Country	:	US
Telephone Number	:	704-730-8461
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2020
Last Update Date	:	01/14/2026

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