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NPI Code Detail

MEDICARE: MRS. DARA DEWBERRY ROGERS APRN

MEDICARE: MRS. DARA DEWBERRY ROGERS APRN
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
1363LF0000XFamily Nurse Practitioner1-148621AL

General Provider Information

NPI Number : 1588178719
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DARA DEWBERRY ROGERS APRN
Provider Business Mailing Address
First Line : 913 S BROAD ST
Second Line :
City : SCOTTSBORO
State : AL
Zip : 35768-2509
Country : US
Telephone Number : 256-999-0766
Fax Number :
Provider Business Practice Location Address
First Line : 913 S BROAD ST
Second Line :
City : SCOTTSBORO
State : AL
Zip : 35768-2509
Country : US
Telephone Number : 256-724-6020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2017
Last Update Date : 09/06/2020

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