Individual
NICOLE MARIE ROGUCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
358 UNIVERSAL DR N, NORTH HAVEN, CT 06473-3163
(475) 655-3970
Mailing address
2015 SPRING RD STE 300, OAK BROOK, IL 60523-3944
(630) 725-2737
(877) 285-5883
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7782
CT
363LF0000X
Family Nurse Practitioner
Primary
7782
CT
Other
Enumeration date
09/19/2018
Last updated
06/02/2023
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