Provider Demographics
NPI:1831393826
Name:ROGERS, BARBARA W (NP)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:W
Last Name:ROGERS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:46 LOUIS PRIMA DR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-5903
Mailing Address - Country:US
Mailing Address - Phone:985-892-7070
Mailing Address - Fax:985-892-7017
Practice Address - Street 1:8490 PICARDY AVE
Practice Address - Street 2:SUITE 600A
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-3731
Practice Address - Country:US
Practice Address - Phone:985-892-7070
Practice Address - Fax:985-892-7017
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2013-03-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAAP03116363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1553867Medicaid
LA1553867Medicaid
LA5X555Medicare ID - Type Unspecified