Provider Demographics
NPI:1023836020
Name:ROGERS, CHRISTINE CARMAN (RN,FNP-BC, AGACNP-BC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:CARMAN
Last Name:ROGERS
Suffix:
Gender:F
Credentials:RN,FNP-BC, AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4637 FLAGSTONE
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-1110
Mailing Address - Country:US
Mailing Address - Phone:504-452-7334
Mailing Address - Fax:
Practice Address - Street 1:4637 FLAGSTONE
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-1110
Practice Address - Country:US
Practice Address - Phone:504-452-7334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1176241363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily