Doctor Name: | BELINDA C ROGERS |
NPI Number: | 1801934773 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RNC, WHNP |
License Number: | 105371 |
Business Practice Address: | 2545 Bagnell Dam Blvd Ste 209 Lake Ozark, MO - 650499806 |
Business Phone Number: | 5733653244 |
Business Fax Number: | 5733653720 |
Mailing Address: | 625 Willow Ln, LEBANON |
State: | MO |
Postal Code: | 655363578 |
Phone Number: | 4175882548 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 105371 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |