Individual provider · Type 1 NPI
Janice Rodgers Bolivar, RN, CARN
Addiction (Substance Use Disorder) Registered Nurse · Lafayette, LA
NPI number
1912045360
Active
Practice location
302 Dulles Dr, Suite 1
Lafayette, LA 70506-3008
Fax (337) 262-1272
Mailing address
113 Kincaid Ct
Lafayette, LA 70508-8029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 35367 (LA) |
| Addiction (Substance Use Disorder) Registered Nurse Primary | 163WA0400X | 3852 (LA) |
Addiction (Substance Use Disorder) Registered Nurse: Definition to come...
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About NPI 1912045360
Janice Rodgers Bolivar, RN, CARN's National Provider Identifier is 1912045360, issued on Feb 1, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Lafayette, LA. The record was last updated on Sep 11, 2025.