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NPI Code Detail

MEDICARE: ANGELA MARIE ROGGE LPN

MEDICARE: ANGELA MARIE ROGGE LPN
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
1164W00000XLicensed Practical Nurse307760-31WI

General Provider Information

NPI Number : 1568300101
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA MARIE ROGGE LPN
Provider Business Mailing Address
First Line : 475 CHIPPEWA MALL DR
Second Line :
City : CHIPPEWA FALLS
State : WI
Zip : 54729-5034
Country : US
Telephone Number : 715-720-3067
Fax Number : 715-720-7345
Provider Business Practice Location Address
First Line : 475 CHIPPEWA MALL DR
Second Line :
City : CHIPPEWA FALLS
State : WI
Zip : 54729-5034
Country : US
Telephone Number : 715-720-3067
Fax Number : 715-720-7345
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2026
Last Update Date : 03/24/2026

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Directions to “ ANGELA MARIE ROGGE LPN” Practice Location

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