MEDICARE: ROSINE ORIABURE DNP, PMHNP-BC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	228751	AZ

General Provider Information

NPI Number	:	1083268874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSINE ORIABURE DNP, PMHNP-BC

Provider Business Mailing Address
First Line	:	9014 S CENTRAL AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85042-8304
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3101 N CENTRAL AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85012-2645
Country	:	US
Telephone Number	:	602-230-7373
Fax Number	:

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

Provider Enumeration Date	:	07/30/2019
Last Update Date	:	09/06/2019

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