Healthcare Provider Details

I. General information

NPI: 1689409872
Provider Name (Legal Business Name): ROSEMARY KEMUNTO ONDUSO APRN, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2024
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1360 N DODGE ST
IOWA CITY IA
52245-6114
US

IV. Provider business mailing address

200 HAWKINS DR
IOWA CITY IA
52242-1009
US

V. Phone/Fax

Practice location:
  • Phone: 319-356-2294
  • Fax: 319-384-9693
Mailing address:
  • Phone: 319-356-2294
  • Fax: 319-384-7346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberCNM09551
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberB181055
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: