Individual
SHIRL RENAE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, CWOCN
Contact information
Practice address
619 S MARION AVE, WOUND CLINIC, LAKE CITY, FL 32025-5808
(386) 755-3016
(386) 719-3617
Mailing address
8981 SW 84TH ST, GAINESVILLE, FL 32608-7223
(386) 755-3016
(386) 719-3617
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
564015
CA
363LA2200X
Adult Health Nurse Practitioner
11458
CA
Other
Enumeration date
09/24/2006
Last updated
09/11/2025
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