Individual provider · Type 1 NPI
Decolia Ronic Rogers
Gerontology Nurse Practitioner · Lafayette, LA
NPI number
1710508296
Active
Practice location
1214 Coolidge Blvd
Lafayette, LA 70503-2621
Mailing address
926 Frisky Dr
Brandon, MS 39047-7070
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 211857 (LA) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 211857 (LA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1710508296
Decolia Ronic Rogers's National Provider Identifier is 1710508296, issued on May 6, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Lafayette, LA. The record was last updated on May 6, 2020.