Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Rose Ifediora

Individual provider Family Nurse Practitioner · NPI 1982385654

Rose Ifediora is a Nurse Practitioner in Desoto, Texas. Qualified in 2022, 4 years ago. Practices with Premier Cardiovascular Care of Dallas, PLLC, a 7-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2023
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Practice location Address checks out

1534 N Hampton Rd Ste 100
Desoto, TX 75115-2493
Phone: (469) 941-4029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F07230637 (TX)

Record details

NPI number1982385654
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 26, 2023
Last updated in NPPESNovember 1, 2024
Certification dateNovember 1, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Premier Cardiovascular Care Of Dallas, Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Desoto