WYATT ROGERS NPI 1073926390

NPI Information

NPI: 1073926390
Provider Name: WYATT ROGERS
Classification: Registered Nurse - 163WX0106X
Entity Type: Individual

Specialization: Occupational Health

Address:
222 TONGASS DR
SITKA, AK
ZIP 99835
Phone: (907) 966-2411
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Wyatt Rogers is an occupational health registered nurse in Sitka, AK. Wyatt Rogers NPI is 1073926390. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

222 TONGASS DR
SITKA, AK
ZIP 99835-416
Phone: (907) 966-2411
Fax: (907) 966-8383

The enumeration date for this NPI number is 6/4/2014 and was last updated on 5/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor				No
2	163WX0106X	Registered Nurse	Occupational Health	NURR38294	ALASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1020986	MEDICAID	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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