Individual provider · Type 1 NPI
Shirley Gwen Rogerson, MPH, BSN, RN, CDE
Diabetes Educator Registered Nurse · Lakeland, FL
NPI number
1407355217
Active
Practice location
4710 S Florida Ave
Lakeland, FL 33813-2165
Fax (863) 284-3951
Mailing address
1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | RN9170975 (FL) |
| Diabetes Educator Registered Nurse | 163WD0400X | 917905 (FL) |
| Diabetes Educator Registered Nurse Primary | 163WD0400X | 9170975 (FL) |
Diabetes Educator Registered Nurse: Definition to come...
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About NPI 1407355217
Shirley Gwen Rogerson, MPH, BSN, RN, CDE's National Provider Identifier is 1407355217, issued on Feb 7, 2018. The primary taxonomy on file is Diabetes Educator Registered Nurse (163WD0400X), and the practice location is in Lakeland, FL. The record was last updated on Feb 7, 2018.