Individual
MRS. ANNE MARIE ROGERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
305 COMMERCIAL ST STE 103, PORTLAND, ME 04101-5625
(207) 808-1384
(207) 221-1710
Mailing address
176 ISLAND WAY, CARMEL, ME 04419-3154
(207) 944-6167
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN38531
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP201232
ME
Other
Enumeration date
03/01/2020
Last updated
07/05/2022
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