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

Rita Owenaze Edosomwan

Individual provider Nurse Practitioner · NPI 1962351502

Rita Owenaze Edosomwan is a Nurse Practitioner in Dallas, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2026

Practice location Address checks out

28 Victoria Heights Ct
Dallas, GA 30132-9281
Phone: (770) 369-3420
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 253943 (GA)

Record details

NPI number1962351502
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 27, 2026
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026

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