Individual
TRACI A. ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
407 E 3RD ST, ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER, DULUTH, MN 55805-1950
(218) 786-4000
Mailing address
407 E 3RD ST, ESSENTIA HEALTH ST. MARY'S MEDICAL CENTER, DULUTH, MN 55805-1950
(218) 786-4000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R 126539-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026644200
—
MN
Enumeration date
05/27/2005
Last updated
05/25/2016
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