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
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1534 N Hampton Rd Ste 100
Desoto, TX 75115-2493
Phone: (469) 941-4029
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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
Mailing address1534 N Hampton Rd Ste 100, Desoto, TX 75115-2493

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