Individual
LAURA ANN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1011 BOWLES AVE, STE 220, FENTON, MO 63026-2395
(314) 991-0137
Mailing address
5861 BIRCHMONT PLACE DR, SAINT LOUIS, MO 63129-2990
(636) 667-4249
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2006010898
MO
363LF0000X
Family Nurse Practitioner
Primary
2016040138
MO
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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