Rogers, Mary Ellen B

Rogers, Mary Ellen B is an sole proprietor health care provider with primary practice located at 6350 Central Ave , St Petersburg FL 33707-1430. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rogers, Mary Ellen B can be contacted via phone (813) 977-0733.

Contact Information

Primary practice address
6350 Central Ave St Petersburg FL 33707-1430
Fax: (813) 971-2230
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP 3147572 Florida

Profile Details

NPI number 1790817484
LBN Legal business name Rogers, Mary Ellen B
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790817484 NPPES
Florida Other ARNP 3147572 NURSE PRACTITIONER

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