Provider Demographics
NPI:1396207403
Name:NJOROGE-LASSITER, ROSE W (APRN)
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:W
Last Name:NJOROGE-LASSITER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ROSE
Other - Middle Name:WANJIRU
Other - Last Name:NJOROGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:412 NW NOTTINGHAM LN
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64014-1231
Mailing Address - Country:US
Mailing Address - Phone:816-204-8641
Mailing Address - Fax:
Practice Address - Street 1:3660 SUMMIT ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-4632
Practice Address - Country:US
Practice Address - Phone:816-931-1196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-05
Last Update Date:2019-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019007956363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner