Individual
MARCIA LYNNE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,CPNP
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 595-6153
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 595-6153
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
096617
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2341326
—
OH
Enumeration date
01/04/2008
Last updated
01/04/2008
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