Individual
ANN ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1025 23RD AVE SW, PUYALLUP, WA 98371-7391
(253) 905-9106
Mailing address
1025 23RD AVE SW, PUYALLUP, WA 98371-7391
(253) 905-9106
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61319445
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AP61319445
—
WA
Enumeration date
06/29/2022
Last updated
06/29/2022
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