Individual
LIBBY LEININGER ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
529 N. OAK ST, TAHLEQUAH, OK 74464-2925
(918) 444-2126
(918) 458-2300
Mailing address
PO BOX 751, HULBERT, OK 74441-0751
(918) 444-2250
(918) 444-2126
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
74414
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200131110A
—
OK
Enumeration date
10/17/2007
Last updated
06/04/2019
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