MARY LESLIE ROHAN (NPI# 1770747941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770747941 |
| Entity Type | Individual |
| Full Name | MARY LESLIE ROHAN |
| Credential | APRN-C |
| Practice Address |
1128 University Cir Student Service Center 190 Ogden UT 84408-1128 |
| Practice Telephone | 8016266459 |
| Practice Fax Number | 8016267786 |
| Mailing Telephone | 8016266459 |
| Mailing Fax Number | 8016267786 |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2010-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2244504405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 998877666002 | 05 | |
| UT | 32481 | 05 | |
| UT | 876000308011 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235211194 | Mary Kate Rohan | Specialist | 1211 W La Palma Ave Ste 407, Anaheim, CA 92801-2806 | 2006-10-19 |
| 1316154784 | Mary T Rohan | Clinical Nurse Specialist | 2800 W 95th St, Evergreen Park, IL 60805-2701 | 2007-05-16 |
| Street Address |
1128 UNIVERSITY CIR STUDENT SERVICE CENTER 190 |
| City | OGDEN |
| State | UT |
| Zip Code | 84408-1128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750912713 | Minsup Oh | Specialist/Technologist | 1435 Village Drive, Dept, 3405, Ogden, UT 84408 | 2020-01-29 |
| 1629586615 | Brandon Shapiro | Specialist/Technologist | 1435 Village Drive, Dept. 2805, Ogden, UT 84408 | 2018-01-12 |
| 1366950438 | Annie Michelle Young | Specialist/Technologist | 1435 Village Drive Dept 2805, Ogden, UT 84408 | 2018-01-11 |
| 1346797479 | Nehida Estevez | Student in an Organized Health Care Education/Training Program | 201 Wildcat Vlg, Ogden, UT 84408 | 2016-09-07 |
| 1316347172 | Alex Leonardi | Student in an Organized Health Care Education/Training Program | 1435 Village Drive, Dept. 2801, Ogden, UT 84408 | 2014-08-29 |
| 1558505529 | Melissa Ann Neville-norton | Nurse Practitioner | 3875 Stadium Way # 3903 Weber State University, Ogden, UT 84408 | 2009-04-22 |
| 1891255733 | Ryo Nakazono | Specialist/Technologist | 1435 Village Drive, Dept. 2805, Ogden, UT 84408 | 2019-03-25 |
| 1356824882 | Leslie Hiroko Montgomery | Specialist/Technologist | 3848 Harrison Blvd, Ogden, UT 84408 | 2018-09-11 |
| 1033584305 | Teraka Gonzalez | Specialist/Technologist | 1435 Village Drive, Dept 2805, Ogden, UT 84408 | 2015-12-11 |
| 1376945360 | Eathyn Peterson | Specialist/Technologist | 1435 Village Drive, Dept. 2801, Ogden, UT 84408 | 2014-09-22 |
| Find all providers in zip 84408 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306473368 | Stephanie Michaele Turner | Nurse Practitioner | 865 Maple St, Ogden, UT 84403-1923 | 2020-03-26 |
| 1114579596 | James Edward Fenton Jr. | Nurse Practitioner | 2351 Grant Ave Ste 201, Ogden, UT 84401 | 2019-07-15 |
| 1891205811 | Amy Lynn Hinckley | Nurse Practitioner | 4933 S 1500 W Ste 200, Ogden, UT 84405-7738 | 2017-10-04 |
| 1619426376 | Angela Weil | Nurse Practitioner | 2540 Washington Blvd Ste 122, Ogden, UT 84401-3112 | 2016-09-22 |
| 1235531500 | Tyson Oakey | Nurse Practitioner | 3860 Jackson Ave Ste 7, Ogden, UT 84403-1979 | 2014-09-18 |
| 1144668591 | Jordan Wyler Johnsen | Nurse Practitioner | 4387 Harrison Blvd Ste D8, Ogden, UT 84403-3267 | 2013-06-07 |
| 1275979841 | Dustin C Jasmer | Nurse Practitioner | 5315 S 500 E Ste A, Ogden, UT 84405-4772 | 2013-05-22 |
| 1740585603 | Angela Lynn Christner | Nurse Practitioner | 245 W Walnut St, Ogden, IA 50212-7705 | 2011-01-24 |
| 1558512897 | Trent Willey | Nurse Practitioner | 1447 Canyon Cove Gln Apt 29, Ogden, UT 84401-0829 | 2008-10-06 |
| 1528245057 | Linda Steed | Nurse Practitioner | 4401 Harrison Boulivard, Ogden, UT 84403 | 2008-01-28 |
| Find all providers in OGDEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.