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MICHELE LEE ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2900 16TH ST, BEDFORD, IN 47421-3510
(812) 276-4378
(812) 275-1246
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28253875A
IN
367500000X
Certified Registered Nurse Anesthetist
ARNP9218490
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300035467
IN
01
940070021
MEDICARE PTAN
IN
Enumeration date
06/20/2011
Last updated
08/12/2024
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