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Individual

MRS. SAMANTHA ANN ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, PMHNP-BC

Contact information

Practice address
222 BOSLEY AVENUE, SUITE C3, TOWSON, MD 21204
(410) 988-2503
Mailing address
9506 GUNVIEW RD, NOTTINGHAM, MD 21236-1409
(410) 207-0038

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R191686
MD

Other

Enumeration date
08/14/2018
Last updated
08/14/2018
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