Provider Demographics
NPI:1174587232
Name:RODGERS, DONNA MARIE (CRNP)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:MARIE
Last Name:RODGERS
Suffix:
Gender:F
Credentials:CRNP
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Other - First Name:
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Mailing Address - Street 1:170 MIDDLETOWN BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-3200
Mailing Address - Country:US
Mailing Address - Phone:215-757-8100
Mailing Address - Fax:215-757-7358
Practice Address - Street 1:170 MIDDLETOWN BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-3200
Practice Address - Country:US
Practice Address - Phone:215-757-8100
Practice Address - Fax:215-757-7358
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2016-09-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP007456363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA078663YGTMedicare UPIN
PA078663XRNMedicare UPIN
PAQ15057Medicare UPIN
PA078663XRUMedicare UPIN