Individual
MRS. MARY KATHERINE ROGOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
5715 CENTRE SQUARE DRIVE, CENTREVILLE- CHANTILLY FAMILY PRACTICE, CENTREVILLE, VA 20120-1916
(703) 631-5151
(703) 631-9754
Mailing address
5715 CENTRE SQUARE DRIVE, CENTREVILLE- CHANTILLY FAMILY PRACTICE, CENTREVILLE, VA 20120-1916
(703) 631-5151
(703) 631-9754
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0017001073
VA
363LF0000X
Family Nurse Practitioner
0001093340
VA
363LF0000X
Family Nurse Practitioner
Primary
0024093340
VA
Other
Enumeration date
10/04/2006
Last updated
11/24/2009
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