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Individual

ANN ROGERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1055 N 500 W STE 101, PROVO, UT 84604-3305
(801) 373-4366
(801) 429-8191
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7343913-4405
UT

Other

Enumeration date
09/25/2015
Last updated
11/27/2023
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