Doctor Name: | BARBARA ROGERS |
NPI Number: | 1003988106 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | 517297 |
Business Practice Address: | 39400 Paseo Padre Pkwy Fremont, CA - 945382310 |
Business Phone Number: | 5102485730 |
Business Fax Number: | |
Mailing Address: | 39400 Paseo Padre Pkwy, FREMONT |
State: | CA |
Postal Code: | 945382310 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/14/2006 |
NPI Last Update Date: | 03/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | 517297 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |