Doctor Name: | GAIL ROGERS |
NPI Number: | 1851512784 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN APRN |
License Number: | R37464 |
Business Practice Address: | 975 Corbin Ave New Britain, CT - 060521243 |
Business Phone Number: | 8603568224 |
Business Fax Number: | |
Mailing Address: | 975 Corbin Ave, NEW BRITAIN |
State: | CT |
Postal Code: | 060521243 |
Phone Number: | 8603568224 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | R37464 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |