Individual
HEIDI ROGGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5402 DAYAN ST, LOWVILLE, NY 13367-1100
(315) 376-4600
Mailing address
5402 DAYAN ST, LOWVILLE, NY 13367-1100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F347864-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/29/2019
Last updated
08/19/2021
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