# SUSAN GAYLE ROGERS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1164492666
- **Gender:** F
- **Credential:** ARNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | RN00129267 | WA | — |
| 363L00000X | Nurse Practitioner | AP30006312 | WA | Yes |

## Other

- **Enumeration date:** 01/25/2006
- **Last updated:** 04/01/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0173362 | L&I | WA |
| 01 | — | 614161500 | DOL OWCP FECA | WA |
| 05 | — | 9642661 | — | WA |