Individual
MICHELLE BETH ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1108 LAVACA ST STE 110-320, AUSTIN, TX 78701-2172
(512) 477-4088
Mailing address
1705 LION HEART DR, CEDAR PARK, TX 78613-3523
(512) 663-0114
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
1140248
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
1140248
TX
Other
Enumeration date
10/24/2023
Last updated
10/27/2023
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