Individual
BRANDIE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3105 CLEARWATER DR STE A, PRESCOTT, AZ 86305-7166
(928) 237-4422
Mailing address
1042 WILLOW CREEK RD STE A101 #222, PRESCOTT, AZ 86301
(928) 237-4422
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN164322
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP8454
AZ
Other
Enumeration date
02/03/2016
Last updated
05/11/2024
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