Individual
CANDICE R ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 744-2345
Mailing address
1120 S UTICA AVE, TULSA, OK 74104-4012
(479) 420-7858
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R0087945
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2019
Last updated
01/03/2025
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