Provider Demographics
NPI:1447481346
Name:ROGERS, GENOLIA CHRISTINA (LPN)
Entity type:Individual
Prefix:MRS
First Name:GENOLIA
Middle Name:CHRISTINA
Last Name:ROGERS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6211 BERINGER DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-8039
Mailing Address - Country:US
Mailing Address - Phone:614-865-9965
Mailing Address - Fax:614-891-4327
Practice Address - Street 1:6211 BERINGER DR
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-8039
Practice Address - Country:US
Practice Address - Phone:614-865-9965
Practice Address - Fax:614-891-4327
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-27
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH134532164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse