Individual
HEIDI H. ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
2010 INDUSTRIAL PARK RD, ESPANOLA, NM 87532-3600
(505) 753-7218
(505) 753-5815
Mailing address
PO BOX 158, EL CENTRO FAMILY HEALTH - CREDENTIALING, ESPANOLA, NM 87532-0158
(505) 753-7218
(505) 753-5818
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R41491
NM
363L00000X
Nurse Practitioner
R41491
NM
Other
Enumeration date
12/02/2005
Last updated
05/04/2016
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