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Individual

DANIELLE L. ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.N.P.

Contact information

Practice address
36100 EUCLID AVE STE 240, WILLOUGHBY, OH 44094-4427
(440) 953-6295
Mailing address
36100 EUCLID AVE STE 240, WILLOUGHBY, OH 44094-4427
(440) 953-6295

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0032620
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
APRN.CNP.0032620
OHIO MEDICAL LICENSE
OH
01
RN.373483
OHIO MEDICAL LICENSE
OH
Enumeration date
11/02/2022
Last updated
11/03/2022
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