Individual provider · NPI-1

Rosette Adegbe, FNP

Nurse Practitioner · San Bernardino, CA

NPI number1831592286
StatusActive
Last updated in NPPESDec 6, 2021

Details

NPI
1831592286
Entity type
Individual (NPI-1)
Name
Rosette Adegbe
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Sep 30, 2014
Last updated
Dec 6, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner95001235CAYes
363L00000X Nurse PractitionerNPF95001235CA

Practice location

190 E Highland Ave
San Bernardino, CA 92404-3658

Phone 909-882-4788 · Fax 909-882-8819

Mailing address

200 Oceangate
Suite 100
Long Beach, CA 90802-4302

Phone 562-499-6191 · Fax 909-882-8819

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