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Individual

MRS. TAMARA TAMEKA ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, BSN, RN

Contact information

Practice address
6231 SANDYCREEK CT, FLORISSANT, MO 63033-4942
(314) 699-4605
Mailing address
140 ELMGROVE AVE, HAZELWOOD, MO 63042-2010
(314) 778-0045

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201304519
MO
163WA2000X
Administrator Registered Nurse
Primary
201304519
MO
163WC0200X
Critical Care Medicine Registered Nurse
2013045199
MO
163WC0400X
Case Management Registered Nurse
201304519
MO
163WD1100X
Peritoneal Dialysis Registered Nurse
201304519
MO
163WH0200X
Home Health Registered Nurse
201304519
MO
163WH0500X
Hemodialysis Registered Nurse
201304519
MO
163WW0000X
Wound Care Registered Nurse
201304519
MO

Other

Enumeration date
03/14/2023
Last updated
03/31/2023
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