Provider Demographics
NPI:1437382165
Name:ROGERS, DENISE (RN)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:
Last Name:ROGERS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04963-4928
Mailing Address - Country:US
Mailing Address - Phone:207-465-3249
Mailing Address - Fax:207-465-7864
Practice Address - Street 1:28 CENTER ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:ME
Practice Address - Zip Code:04963-4928
Practice Address - Country:US
Practice Address - Phone:207-465-3249
Practice Address - Fax:207-465-7864
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-28
Last Update Date:2009-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER046353163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse