Individual
BETH ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
704 W DR MARTIN LUTHER KING JR BLVD, SEFFNER, FL 33584-4534
(866) 389-2727
Mailing address
704 W DR MARTIN LUTHER KING JR BLVD, SEFFNER, FL 33584-4534
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN9657118
FL
363LF0000X
Family Nurse Practitioner
AP106546
TX
363LF0000X
Family Nurse Practitioner
Primary
APRN9429777
FL
363LW0102X
Women's Health Nurse Practitioner
587674
TX
Other
Enumeration date
03/03/2009
Last updated
04/15/2024
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