MARY LESLIE ROHAN APRN-C NPI 1770747941

NPI Information

  • NPI: 1770747941
  • Provider Name: MARY LESLIE ROHAN, APRN-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 1128 UNIVERSITY CIR
    STUDENT SERVICE CENTER 190
    OGDEN, UT
    ZIP 84408
  • Phone: (801) 626-6459

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NPI Details

Mary Leslie Rohan, APRN-C is a family nurse practitioner in Ogden, UT. Mary Leslie Rohan, APRN-C NPI is 1770747941. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1128 UNIVERSITY CIR
STUDENT SERVICE CENTER 190
OGDEN, UT
ZIP 84408-128
Phone: (801) 626-6459
Fax: (801) 626-7786

The enumeration date for this NPI number is 7/16/2008 and was last updated on 7/2/2010.

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
1363LF0000XNurse PractitionerFamily2244504405UTAHYes

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
132481MEDICAIDUTAH
2876000308011MEDICAIDUTAH
3998877666002MEDICAIDUTAH

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: 11/21/2025

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