Individual
SANDRA FAYE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
801 S MAIN ST, CLINTON, IN 47842-2261
(765) 832-1234
Mailing address
5130 E ROSE HILL AVE, TERRE HAUTE, IN 47805-9610
(812) 239-2773
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71013505A
IN
Other
Enumeration date
08/09/2022
Last updated
02/01/2023
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