Individual
MARY LESLIE ROHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
1128 UNIVERSITY CIR, STUDENT SERVICE CENTER 190, OGDEN, UT 84408-1128
(801) 626-6459
(801) 626-7786
Mailing address
1128 UNIVERSITY CIR, STUDENT SERVICE CENTER 190, OGDEN, UT 84408-1128
(801) 626-6459
(801) 626-7786
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2244504405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32481
—
UT
05
—
876000308011
—
UT
05
—
998877666002
—
UT
Enumeration date
07/16/2008
Last updated
07/02/2010
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