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SOPHIA CHU RODGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
10400 ACADEMY RD NE, #340, ALBUQUERQUE, NM 87111-7372
(505) 298-1558
(505) 298-7012
Mailing address
10400 ACADEMY RD NE, #340, ALBUQUERQUE, NM 87111-7372
(505) 298-1558
(505) 298-7012

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R19106
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NM016885
BCBS OF NM
NM
01
P00278039
RAILROAD MEDICARE
NM
05
Q5234
NM
Enumeration date
08/28/2006
Last updated
07/08/2007
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