Rogers, Amy Vanderbeck

Rogers, Amy Vanderbeck is an sole proprietor health care provider with primary practice located at 2809 Denny Ave , Pascagoula MS 39581-5301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Rogers, Amy Vanderbeck can be contacted via phone (228) 809-5510.

Contact Information

Primary practice address
2809 Denny Ave Pascagoula MS 39581-5301
Phone: (228) 809-5510
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 1-107630 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 888068 Mississippi

Profile Details

NPI number 1417249053
LBN Legal business name Rogers, Amy Vanderbeck
Credentials ACNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 13th, 2011
Last updated Oct 13th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417249053 NPPES
Mississippi MEDICAID 03930778

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