Individual
KATY ALEXIS ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7213 86TH ST NW, GIG HARBOR, WA 98332-6716
(253) 686-4290
Mailing address
7213 86TH ST NW, GIG HARBOR, WA 98332-6716
(253) 686-4290
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00169863
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
08/17/2017
Last updated
07/21/2022
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