Doctor Name: | RITA DORIS ROGERS |
NPI Number: | 1427215649 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 44504 |
Business Practice Address: | 1301 Ks Highway 264 Larned, KS - 675505353 |
Business Phone Number: | 6208042805 |
Business Fax Number: | |
Mailing Address: | 1301 Ks Highway 264, LARNED |
State: | KS |
Postal Code: | 675505353 |
Phone Number: | 6208042805 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2008 |
NPI Last Update Date: | 05/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 44504 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |