Individual provider · Type 1 NPI

Marquelle Rogers, CPNP

Pediatric Nurse Practitioner · Salt Lake City, UT

NPI number 1477812691 Active

Practice location

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103

Mailing address

PO Box 30180
Salt Lake City, UT 84130-0180

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X5056036-4405 (UT)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1477812691

Marquelle Rogers, CPNP's National Provider Identifier is 1477812691, issued on May 8, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Salt Lake City, UT. The record was last updated on Nov 19, 2024.