| Doctor Name: | MS. BONNIE SUE RODGERS |
| NPI Number: | 1023095981 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | TP005113B |
| Business Practice Address: | 300 Penn Lincoln Dr Imperial, PA - 151269772 |
| Business Phone Number: | 7247733002 |
| Business Fax Number: | |
| Mailing Address: | 1740 Borland Rd, PITTSBURGH |
| State: | PA |
| Postal Code: | 152431524 |
| Phone Number: | 4124297210 |
| Fax Number: | |
| NPI Enumeration Date: | 12/30/2005 |
| NPI Last Update Date: | 01/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | TP005113B |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |