Rogers, Patricia

Rogers, Patricia is an sole proprietor health care provider with primary practice located at 1220 Willis Ave , Daytona Beach FL 32114-2810. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Rogers, Patricia can be contacted via phone (386) 236-3200.

Contact Information

Primary practice address
1220 Willis Ave Daytona Beach FL 32114-2810
Phone: (386) 236-3200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 26NJ00066900 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ00066900 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 9415718 Florida

Profile Details

NPI number 1699861625
LBN Legal business name Rogers, Patricia
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2006
Last updated Oct 16th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699861625 NPPES
New Jersey MEDICAID 6070190

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