Healthcare Provider Details

I. General information

NPI: 1255681532
Provider Name (Legal Business Name): MARGUERITE PATRICIA ROGERS CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGUERITE P HEGMAN

II. Dates (important events)

Enumeration Date: 09/14/2012
Last Update Date: 11/26/2024
Certification Date: 11/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 GOODMAN ST
CINCINNATI OH
45219-2364
US

IV. Provider business mailing address

PO BOX 636256 CENTRAL CREDENTIALING
CINCINNATI OH
45263-6256
US

V. Phone/Fax

Practice location:
  • Phone: 513-872-7100
  • Fax: 513-872-7385
Mailing address:
  • Phone: 513-585-5502
  • Fax: 513-585-5511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.334026
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1131552
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberCOA.14254-NA
License Number StateOH
# 4
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number6582
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: