Provider Demographics
NPI:1386492858
Name:MUINDI, ROSEMARY NDULU
Entity type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:NDULU
Last Name:MUINDI
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 1:13876 HEMATITE ST NW
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:MN
Mailing Address - Zip Code:55303-4797
Mailing Address - Country:US
Mailing Address - Phone:651-757-0624
Mailing Address - Fax:
Practice Address - Street 1:13876 HEMATITE ST NW
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:MN
Practice Address - Zip Code:55303-4797
Practice Address - Country:US
Practice Address - Phone:651-757-0624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant