MEDICARE: LEANA ROGERS RN

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	163W00000X	Registered Nurse	932687	NY
2	163W00000X	Registered Nurse	1021193	TX

General Provider Information

NPI Number	:	1295678910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEANA ROGERS RN

Provider Business Mailing Address
First Line	:	3735 TUMBLING FALLS DR
Second Line	:
City	:	MANVEL
State	:	TX
Zip	:	77578-4897
Country	:	US
Telephone Number	:	347-554-3689
Fax Number	:

Provider Business Practice Location Address
First Line	:	3735 TUMBLING FALLS DR
Second Line	:
City	:	MANVEL
State	:	TX
Zip	:	77578-4897
Country	:	US
Telephone Number	:	347-554-3689
Fax Number	:

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

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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