| Doctor Name: | MS. LESLIE CORRINE ROGERS |
| NPI Number: | 1134407489 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | NP-1090A |
| Business Practice Address: | 229 S 7th St St Maries, ID - 838611803 |
| Business Phone Number: | 2082457016 |
| Business Fax Number: | 2082457653 |
| Mailing Address: | Po Box 146, SANTA |
| State: | ID |
| Postal Code: | 838660146 |
| Phone Number: | 2082459566 |
| Fax Number: | 2082457653 |
| NPI Enumeration Date: | 08/03/2011 |
| NPI Last Update Date: | 08/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP-1090A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |