Provider Demographics
NPI:1215602289
Name:ROGERS, DONNA MARIE (RN, BSN, CRRN)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:MARIE
Last Name:ROGERS
Suffix:
Gender:F
Credentials:RN, BSN, CRRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14323 E 11 MILE RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48088-4839
Mailing Address - Country:US
Mailing Address - Phone:586-294-0770
Mailing Address - Fax:586-294-7880
Practice Address - Street 1:14323 E 11 MILE RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-4839
Practice Address - Country:US
Practice Address - Phone:586-294-0770
Practice Address - Fax:586-294-7880
Is Sole Proprietor?:No
Enumeration Date:2021-08-12
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704134650163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management