Individual
KATIE ROSE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
26732 CROWN VALLEY PKWY STE 351, MISSION VIEJO, CA 92691-6374
(949) 364-1007
Mailing address
24091 NOVIA CIR, MISSION VIEJO, CA 92691-4334
(801) 885-4678
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95008536
CA
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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