Provider Demographics
NPI:1235858416
Name:RODGERS, DELANA MICHELLE (APRN-FNP-C)
Entity type:Individual
Prefix:
First Name:DELANA
Middle Name:MICHELLE
Last Name:RODGERS
Suffix:
Gender:
Credentials:APRN-FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 S MORGAN DR
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-7156
Mailing Address - Country:US
Mailing Address - Phone:405-412-7018
Mailing Address - Fax:
Practice Address - Street 1:4600 SE 29TH ST STE 750
Practice Address - Street 2:
Practice Address - City:DEL CITY
Practice Address - State:OK
Practice Address - Zip Code:73115-3407
Practice Address - Country:US
Practice Address - Phone:405-733-5900
Practice Address - Fax:405-733-5905
Is Sole Proprietor?:No
Enumeration Date:2022-08-23
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK209577363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily