Provider Demographics
NPI:1891371720
Name:RODGERS, TOIYANA R (CNM)
Entity Type:Individual
Prefix:
First Name:TOIYANA
Middle Name:R
Last Name:RODGERS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:TOIYANA
Other - Middle Name:R
Other - Last Name:LAGRONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 KINGSLEY LN STE 200
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23505-4604
Mailing Address - Country:US
Mailing Address - Phone:757-451-0929
Mailing Address - Fax:
Practice Address - Street 1:100 KINGSLEY LN STE 200
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23505-4604
Practice Address - Country:US
Practice Address - Phone:757-451-0929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-22
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024180282176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife