Individual
REBECCA IRENE ROGHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RN, CNS
Contact information
Practice address
1406 6TH AVENUE NORTH, ST. CLOUD HOSPITAL, ST. CLOUD, MN 56303-1901
(320) 251-2700
(320) 229-5109
Mailing address
1900 CENTRACARE CIRCLE #2475, CENTRACARE HEALTH PLAZA, ST. CLOUD, MN 56303
(320) 229-5199
(320) 229-5109
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
R147800-0
MN
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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