Provider Demographics
NPI:1578444766
Name:EBEM, ROSEMARY NAOMI (RN)
Entity type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:NAOMI
Last Name:EBEM
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 COLUMBINE DR
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-0999
Mailing Address - Country:US
Mailing Address - Phone:214-843-5118
Mailing Address - Fax:
Practice Address - Street 1:219 COLUMBINE DR
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-0999
Practice Address - Country:US
Practice Address - Phone:214-843-5118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1014078163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse