Doctor Name: | MRS. CYNTHIA LOVERN ROGERS |
NPI Number: | 1124234828 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | R0034941 |
Business Practice Address: | 612 N Oak St Sallisaw, OK - 749552827 |
Business Phone Number: | 9187756201 |
Business Fax Number: | 9187754479 |
Mailing Address: | 1108 Alex Denton Dr, SALLISAW |
State: | OK |
Postal Code: | 749553218 |
Phone Number: | 9187755843 |
Fax Number: | 9187754479 |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WW0101X |
License Number: | R0034941 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Women's Health Care, Ambulatory |
Taxonomy Definition: |