Individual
MS. CONSTANCE L ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN ARNP CRNA
Contact information
Practice address
904 WOLLARD BLVD, RICHMOND, MO 64085-2229
(816) 470-5432
Mailing address
3705 N 139TH ST, KANSAS CITY, KS 66109-4234
(913) 721-3641
(913) 721-3649
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
062971
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
062971
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001784701
COMMUNITY HEALTH PLAN
MO
01
—
34698025
BLUE CROSS BLUE SHIELD KANSAS CITY
MO
01
—
5718934
FIRST HEALTH
—
01
—
66048A008
TRICARE WPS
MO
05
—
912676335
—
MO
01
—
P00435049
RAILROAD MEDICARE
MO
Enumeration date
11/23/2005
Last updated
10/20/2008
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