MRS. MARY KATHERINE ROGOWSKI


Address: 5715 Centre Square Drive, Centreville- Chantilly Family Practice, Centreville, VA 20120-1916
Phone: 7036315151

MRS. MARY KATHERINE ROGOWSKI (NPI# 1528153293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528153293
Entity Type Individual
Full Name MRS. MARY KATHERINE ROGOWSKI
Other Name MARY KATHERINE COLEMAN
Credential F.N.P.
Practice Address 5715 Centre Square Drive
Centreville- Chantilly Family Practice
Centreville
VA 20120-1916
Practice Telephone 7036315151
Practice Fax Number 7036319754
Mailing Telephone 7036315151
Mailing Fax Number 7036319754
Enumeration Date 2006-10-04
Last Update Date 2009-11-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 0017001073 VA Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
0001093340 VA Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
0024093340 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5715 CENTRE SQUARE DRIVE
CENTREVILLE- CHANTILLY FAMILY PRACTICE
City CENTREVILLE
State VA
Zip Code 20120-1916

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1346809985 Rajwinder Kaur Sohi Nurse Practitioner 14562 Old Mill Rd, Centreville, VA 20121-6217 2019-06-07
1114493723 Monica Marie Magowan Nurse Practitioner Touchette Regional Hospital, 5900 Bond Ave, Centreville, IL 62207 2018-10-22
1699274753 Sarah Caitlin Brown Nurse Practitioner 5895 Trinity Pkwy Ste 100, Centreville, VA 20120 2018-02-05
1538554076 Patricia Lee Nurse Practitioner 1281 Abercrombie Rd, Centreville, AL 35042-5104 2015-04-01
1275946162 James Hawley Nurse Practitioner 260 W Main Street, Centreville, MS 39631 2014-06-09
1982761078 Candace S Cane Nurse Practitioner 13880 Braddock Rd Ste 209, Lavonna Shade, Office Manager, Centreville, VA 20121-2463 2007-01-02
1093316663 Samantha Jo Moody Nurse Practitioner 658 E Main St, Centreville, MI 49032-9627 2020-11-02
1811507114 Amber Smith Flowers Nurse Practitioner 178 Highway 24 E, Centreville, MS 39631-4171 2020-08-03
1558970210 Jasmine Bush Nurse Practitioner 405 Belcher St, Centreville, AL 35042-2946 2020-07-29
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Competitor

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City CENTREVILLE
Zip Code 20120

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Dataset Information

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.

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