Provider Demographics
NPI:1093350977
Name:BUYEKA, ROSELINE (RN)
Entity Type:Individual
Prefix:
First Name:ROSELINE
Middle Name:
Last Name:BUYEKA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ROSELYNE
Other - Middle Name:
Other - Last Name:BUYEKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1970 132ND AVE SE APT 1
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-3919
Mailing Address - Country:US
Mailing Address - Phone:425-524-5066
Mailing Address - Fax:
Practice Address - Street 1:3815 S OTHELLO ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-3510
Practice Address - Country:US
Practice Address - Phone:425-524-5066
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-14
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60804459207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics