Individual
VICKY ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1708 W ROGERS AVE, BALTIMORE, MD 21209-4545
(410) 578-8600
Mailing address
1708 W ROGERS AVE, BALTIMORE, MD 21209-4545
(410) 578-8600
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R180912
MD
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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