Doctor Name: | MISS ABIGAIL LOUISE RODGERS |
NPI Number: | 1043512692 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ACNS-BC |
License Number: | COA 12021-NS |
Business Practice Address: | 1575 Dewar Dr Suite 430 Rock Springs, WY - 829015972 |
Business Phone Number: | 3072126270 |
Business Fax Number: | 3072126271 |
Mailing Address: | 1575 Dewar Dr, Suite 430 ROCK SPRINGS |
State: | WY |
Postal Code: | 829015972 |
Phone Number: | 3072126270 |
Fax Number: | 3072126271 |
NPI Enumeration Date: | 12/01/2010 |
NPI Last Update Date: | 07/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SA2200X |
License Number: | COA 12021-NS |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |