Provider Demographics
NPI:1043624125
Name:ROGERS, PATRICIA L (ARNP-C)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:L
Last Name:ROGERS
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8763 RIVER CROSSING BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-1112
Mailing Address - Country:US
Mailing Address - Phone:727-842-8411
Mailing Address - Fax:877-917-2336
Practice Address - Street 1:8763 RIVER CROSSING BLVD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-1112
Practice Address - Country:US
Practice Address - Phone:727-842-8411
Practice Address - Fax:877-917-2336
Is Sole Proprietor?:No
Enumeration Date:2014-06-17
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9277858363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health