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Individual

DR. GINGER ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
13927 MONROE ST, OMAHA, NE 68137-4044
(402) 690-9628
Mailing address
13927 MONROE ST, OMAHA, NE 68137-4044
(402) 690-9628

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
IA APRN J-113706
IA
363LG0600X
Gerontology Nurse Practitioner
NE APRN 1758
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
IB1723
MEDICARE GROUP PTAN
IA
01
IB1723001
MEDICARE IND PTAN
IA
Enumeration date
01/25/2007
Last updated
06/30/2010
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