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Individual

MRS. MELINDA JANE ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CFNP

Contact information

Practice address
11020 PENDLETON PIKE, INDIANAPOLIS, IN 46236-2817
(317) 855-6010
(317) 826-6281
Mailing address
7715 BAYRIDGE DR, INDIANAPOLIS, IN 46236-9090
(317) 979-4034
(317) 641-7984

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71000596A
IN
363LF0000X
Family Nurse Practitioner
Primary
71000596A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200370950
IN
Enumeration date
07/18/2006
Last updated
04/04/2012
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