Individual
BARBARA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(716) 262-7346
Mailing address
9900 BREN RD E, MINNETONKA, MN 55343-9664
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
035805
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
308789
NY
Other
Enumeration date
04/09/2014
Last updated
12/10/2020
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