Provider Demographics
NPI:1710047402
Name:AMADI, ROSEMARY NNENNE
Entity Type:Individual
Prefix:MRS
First Name:ROSEMARY
Middle Name:NNENNE
Last Name:AMADI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22059 RUSTIC CANYON LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-6295
Mailing Address - Country:US
Mailing Address - Phone:281-341-1422
Mailing Address - Fax:281-232-2822
Practice Address - Street 1:22059 RUSTIC CANYON LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-6295
Practice Address - Country:US
Practice Address - Phone:281-341-1422
Practice Address - Fax:281-232-2822
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health