Individual
MS. BRENDA ANN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
236 HIGHLAND AVE, SOMERVILLE, MA 02143-1495
(617) 298-4400
(617) 298-2100
Mailing address
236 HIGHLAND AVE, SOMERVILLE, MA 02143-1495
(617) 591-6300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN126513
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
126513
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0211978
—
MA
Enumeration date
05/29/2007
Last updated
02/06/2012
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