Individual
DR. SUSAN MARIE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3690 S PARK AVE STE 805, TUCSON, AZ 85713-5042
(520) 616-6760
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 616-6760
(520) 616-6799
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
278704
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164930
—
AZ
Enumeration date
08/05/2022
Last updated
10/27/2022
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