Individual
CARLA R. ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
209 CROSSROADS PL STE 100, MOUNT VERNON, IL 62864-6545
(618) 241-9071
Mailing address
209 CROSSROADS PL STE 100, MOUNT VERNON, IL 62864-6545
(618) 241-9071
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.021015
IL
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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