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NPI Code Detail

MEDICARE: MRS. ROSEMARY MWALE KUNGU FNP-BC

MEDICARE: MRS. ROSEMARY MWALE KUNGU FNP-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
1363LF0000XFamily Nurse Practitioner680302TX

General Provider Information

NPI Number : 1457638538
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROSEMARY MWALE KUNGU FNP-BC
Provider Business Mailing Address
First Line : 26703 EAGLE PARK LN
Second Line :
City : KATY
State : TX
Zip : 77494-1195
Country : US
Telephone Number : 713-385-4679
Fax Number :
Provider Business Practice Location Address
First Line : 1036 N CIRCLE DR
Second Line :
City : SEALY
State : TX
Zip : 77474-3336
Country : US
Telephone Number : 979-877-0022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2011
Last Update Date : 06/29/2012

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