Provider Demographics
NPI:1508290883
Name:RODGERS, CHRISTINA DENICE (NP-C)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:DENICE
Last Name:RODGERS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12609 BRAMFIELD DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33579-7775
Mailing Address - Country:US
Mailing Address - Phone:813-316-6200
Mailing Address - Fax:
Practice Address - Street 1:8508 ALAFIA HILLS DR
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33567-3408
Practice Address - Country:US
Practice Address - Phone:813-650-8600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-22
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9260124363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily