Provider Demographics
NPI:1932572419
Name:ROGERS, TORRI LEN (CNP)
Entity Type:Individual
Prefix:MRS
First Name:TORRI
Middle Name:LEN
Last Name:ROGERS
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2588 SHARP RD
Mailing Address - Street 2:
Mailing Address - City:ADRIAN
Mailing Address - State:MI
Mailing Address - Zip Code:49221-8629
Mailing Address - Country:US
Mailing Address - Phone:517-812-0524
Mailing Address - Fax:
Practice Address - Street 1:2588 SHARP RD
Practice Address - Street 2:
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221-8629
Practice Address - Country:US
Practice Address - Phone:517-812-0524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-05
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704265847163WH1000X, 363LA2100X
OH420773163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163WH1000XNursing Service ProvidersRegistered NurseHospice