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NPI Code Detail

MEDICARE: MS. CONSTANCE L ROGERS RN ARNP CRNA

MEDICARE:  MS. CONSTANCE L ROGERS  RN ARNP CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse062971MO
2367500000XCertified Registered Nurse Anesthetist062971MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00435049OTHERMORAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
25718934OTHERFIRST HEALTH
334698025OTHERMOBLUE CROSS BLUE SHIELD KANSAS CITY
466048A008OTHERMOTRICARE WPS
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
610001784701OTHERMOCOMMUNITY HEALTH PLAN

General Provider Information

NPI Number : 1114900172
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CONSTANCE L ROGERS RN ARNP CRNA
Provider Business Mailing Address
First Line : 3705 N 139TH ST
Second Line :
City : KANSAS CITY
State : KS
Zip : 66109-4234
Country : US
Telephone Number : 913-721-3641
Fax Number : 913-721-3649
Provider Business Practice Location Address
First Line : 904 WOLLARD BLVD
Second Line :
City : RICHMOND
State : MO
Zip : 64085-2229
Country : US
Telephone Number : 816-470-5432
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2005
Last Update Date : 10/20/2008

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Directions to “ MS. CONSTANCE L ROGERS RN ARNP CRNA” Practice Location

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