Individual ProviderRose Ndululu AiyenowoNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1883 W 21st St N, Wichita, KS 67203-2104(316) 832-0277PECOS EnrollmentBased on the most recent information from CMS, provider Rose Ndululu Aiyenowo does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1891747226Provider TypeIndividualFull NameAiyenowo, Rose NdululuCredentialARNPGenderFemaleEnumeration Date5/16/2006Last Updated7/9/2007Contact InformationPractice LocationPractice Address1883 W 21st St N, Wichita, KS 67203-2104Phone(316) 832-0277Fax(316) 838-5658Mailing LocationMailing Address1883 W 21st St N, Wichita, KS 67203-2104Phone(316) 832-0277Fax(316) 838-5658Provider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense74139Kansas