Individual
HEATHER ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 NW 6TH ST, OKLAHOMA CITY, OK 73102-1203
(405) 767-6740
Mailing address
2119 RIVERWALK DR # 312, MOORE, OK 73160-2700
(405) 535-2119
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202151
OK
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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