Provider Demographics
NPI:1629776810
Name:ONUH, ROSETTA (NP)
Entity type:Individual
Prefix:
First Name:ROSETTA
Middle Name:
Last Name:ONUH
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:N/A
Other - Middle Name:N/A
Other - Last Name:N/A
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NURSE PRACTITIONER
Mailing Address - Street 1:13000 BELLE MEADE TRCE
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-4677
Mailing Address - Country:US
Mailing Address - Phone:240-605-6112
Mailing Address - Fax:
Practice Address - Street 1:4367 HOLLINS FERRY ROAD 1C
Practice Address - Street 2:1C
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21227-4677
Practice Address - Country:US
Practice Address - Phone:240-605-6112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-17
Last Update Date:2025-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR203457163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse