Individual
JULIE ANDREA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
428 W 4620 N, PROVO, UT 84604-5537
(801) 318-6408
Mailing address
428 W 4620 N, PROVO, UT 84604-5537
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
68143093102
UT
Other
Enumeration date
06/21/2020
Last updated
06/21/2020
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