Provider Demographics
NPI:1073030987
Name:EMEGHARA, ROSE NKECHI (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:ROSE
Middle Name:NKECHI
Last Name:EMEGHARA
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5315 CYPRESS CREEK PKWY STE B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-4410
Mailing Address - Country:US
Mailing Address - Phone:346-718-2146
Mailing Address - Fax:832-717-2781
Practice Address - Street 1:714 S ROBB ST
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:TX
Practice Address - Zip Code:75862-7586
Practice Address - Country:US
Practice Address - Phone:346-718-2146
Practice Address - Fax:832-717-2781
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-23
Last Update Date:2017-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP191153363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily