Provider Demographics
NPI:1548756745
Name:ROGERS, MARIAN (RN WHE)
Entity Type:Individual
Prefix:
First Name:MARIAN
Middle Name:
Last Name:ROGERS
Suffix:
Gender:F
Credentials:RN WHE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:RINDGE
Mailing Address - State:NH
Mailing Address - Zip Code:03461-5942
Mailing Address - Country:US
Mailing Address - Phone:603-899-5698
Mailing Address - Fax:
Practice Address - Street 1:142 EXCHANGE ST
Practice Address - Street 2:
Practice Address - City:MILLIS
Practice Address - State:MA
Practice Address - Zip Code:02054-1212
Practice Address - Country:US
Practice Address - Phone:508-376-6018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-11
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA028416-21163W00000X
MA174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No163W00000XNursing Service ProvidersRegistered Nurse