Provider Demographics
NPI:1821480443
Name:OGBENNA, ROSEMARY
Entity Type:Individual
Prefix:MS
First Name:ROSEMARY
Middle Name:
Last Name:OGBENNA
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 1:5033 N CAPITOL ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-6709
Mailing Address - Country:US
Mailing Address - Phone:202-297-1756
Mailing Address - Fax:202-388-5561
Practice Address - Street 1:213 KENNEDY ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-5214
Practice Address - Country:US
Practice Address - Phone:202-297-1756
Practice Address - Fax:202-388-5561
Is Sole Proprietor?:No
Enumeration Date:2015-02-19
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator