Individual
TERESA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
300 CONGRESS ST, QUINCY, MA 02169-0907
(774) 319-1355
Mailing address
300 CONGRESS ST, QUINCY, MA 02169-0907
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2323931
MA
Other
Enumeration date
03/24/2022
Last updated
12/27/2023
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