Provider Demographics
NPI:1477639482
Name:ROGERS, MONICA RENA (FNP-C)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:RENA
Last Name:ROGERS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:RENE
Other - Last Name:PERKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:155 CIMARRON PARK LOOP
Mailing Address - Street 2:SUITE A
Mailing Address - City:BUDA
Mailing Address - State:TX
Mailing Address - Zip Code:78610-2847
Mailing Address - Country:US
Mailing Address - Phone:512-295-9300
Mailing Address - Fax:512-295-7300
Practice Address - Street 1:10925 SIGNAL HILL RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78737-9214
Practice Address - Country:US
Practice Address - Phone:512-619-9045
Practice Address - Fax:512-295-7300
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX661310363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX661310OtherBOARD OF NURSE EXAMINERS
TXF0606259OtherAANP-NURSE PRACTIONER
TXMP1470917OtherDEA REGISTRATION NUMBER