Individual
MARJORIE A. VOGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
100 TIPPETT CT, SUITE 101, SUNBURY, OH 43015-1047
(740) 965-3123
(740) 965-9713
Mailing address
575 COPELAN MILL BD SUITE 1D, WESTERVILLE, OH 43081
(740) 615-1324
(740) 615-1344
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.03795.NA
OH
363L00000X
Nurse Practitioner
COA03795NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2150774
—
OH
01
—
353077
SUBMITTER NO.
—
01
—
500009946
TRAVELERS MEDICARE
—
01
—
NP04703
PALMETTO MEDICARE
—
Enumeration date
06/09/2006
Last updated
04/26/2016
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