Provider Demographics
NPI:1316902794
Name:ROSE, NORALEA ELIZABETH MEIKI (MD)
Entity type:Individual
Prefix:
First Name:NORALEA ELIZABETH
Middle Name:MEIKI
Last Name:ROSE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:358 COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27205-8847
Mailing Address - Country:US
Mailing Address - Phone:336-328-0943
Mailing Address - Fax:
Practice Address - Street 1:364 WHITE OAK ST
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-5434
Practice Address - Country:US
Practice Address - Phone:336-629-8807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC02-01155207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89132HUMedicaid
NC132HUOtherNC BCBS
NC804930OtherPARTNERS
NC39-01477OtherUHC
NCD0315OtherMEDCOST
NCP00186047OtherRR MCR
NC89132HUMedicaid
NC132HUOtherNC BCBS