MEDICARE: BARBARA W ROGERS NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	AP03116	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831393826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA W ROGERS NP

Provider Business Mailing Address
First Line	:	46 LOUIS PRIMA DR
Second Line	:
City	:	COVINGTON
State	:	LA
Zip	:	70433-5903
Country	:	US
Telephone Number	:	985-892-7070
Fax Number	:	985-892-7017

Provider Business Practice Location Address
First Line	:	8490 PICARDY AVE
Second Line	:	SUITE 600A
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-3731
Country	:	US
Telephone Number	:	985-892-7070
Fax Number	:	985-892-7017

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2007
Last Update Date	:	03/29/2013

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