Individual
JUDY ROGNLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
963 ROBERT ST S, WEST SAINT PAUL, MN 55118-1446
(651) 726-9500
(651) 552-1575
Mailing address
963 ROBERT ST S, WEST SAINT PAUL, MN 55118-1446
(651) 726-9500
(651) 552-1575
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
534
MN
363L00000X
Nurse Practitioner
Primary
092786-6
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03195400
—
MN
01
—
12-03421
MEDICA
MN
01
—
123678
UCARE
MN
01
—
686G4RO
BCBS
MN
01
—
HP25663
HEALTH PARTNERS
MN
01
—
NA9021016277
PREFERRED ONE
MN
Enumeration date
03/27/2006
Last updated
06/16/2023
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