Rogers, Susan Gayle

Rogers, Susan Gayle is an sole proprietor health care provider with primary practice located at 1607 Creekside Loop Ste. 100, Yakima WA 98902-4882. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Nursing Service Providers / Medical-Surgical, Nursing Service Providers / Registered Nurse First Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Rogers, Susan Gayle can be contacted via phone (509) 453-4614.

Contact Information

Primary practice address
1607 Creekside Loop Ste. 100 Yakima WA 98902-4882
Phone: (509) 453-4614
Fax: (509) 225-2712
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X AP30006312 Washington
Nursing Service Providers / Medical-Surgical 163WM0705X RN00129267 Washington
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X RN00129267 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30006312 Washington

Profile Details

NPI number 1164492666
LBN Legal business name Rogers, Susan Gayle
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2006
Last updated Apr 8th, 2019 - about 5 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 1164492666 NPPES
Washington Other 614161500 DOL OWCP FECA
Washington MEDICAID 9642661 DOL OWCP FECA
Washington Other 0173362 DOL OWCP FECA

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