MEDICARE: ROSEMARY ABAKYREDE GAISEY CSFA

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	246ZC0007X	Surgical Assistant	204322	NM

General Provider Information

NPI Number	:	1881368892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSEMARY ABAKYREDE GAISEY CSFA

Provider Business Mailing Address
First Line	:	4999 DREAM DANCER DR NE
Second Line	:
City	:	RIO RANCHO
State	:	NM
Zip	:	87144-0851
Country	:	US
Telephone Number	:	214-227-2457
Fax Number	:	214-764-0880

Provider Business Practice Location Address
First Line	:	4999 DREAM DANCER DR NE
Second Line	:
City	:	RIO RANCHO
State	:	NM
Zip	:	87144-0851
Country	:	US
Telephone Number	:	214-227-2457
Fax Number	:	214-764-0880

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

Provider Enumeration Date	:	08/03/2021
Last Update Date	:	04/28/2026

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