Doctor Name: | MS. ZSACHLAYNE ROGUSKA |
NPI Number: | 1568829984 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., ATC, LAT |
License Number: | P070358 |
Business Practice Address: | 191 Main St Banner Elk, NC - 286049626 |
Business Phone Number: | 8288988868 |
Business Fax Number: | |
Mailing Address: | 191 Main St, BANNER ELK |
State: | NC |
Postal Code: | 286049626 |
Phone Number: | 8288988868 |
Fax Number: | |
NPI Enumeration Date: | 01/15/2016 |
NPI Last Update Date: | 01/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 146M00000X |
License Number: | P070358 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Emergency Medical Service Providers |
Taxonomy Classification: | Emergency Medical Technician, Intermediate |
Taxonomy Specialization: | |
Taxonomy Definition: | An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. |