Individual
MRS. SIOBAIN KAY ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C, CCRN
Contact information
Practice address
85 IH 10 N STE 112, BEAUMONT, TX 77707-2560
(409) 239-5139
(409) 347-8856
Mailing address
538 BROADWAY, WINNIE, TX 77665-7600
(409) 296-6000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
204428
LA
363LF0000X
Family Nurse Practitioner
781923
TX
363LF0000X
Family Nurse Practitioner
R45403
ND
363LP2300X
Primary Care Nurse Practitioner
Primary
AP130283
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
398668902
—
TX
01
—
CVDB81
MEDICARE
TX
Enumeration date
07/28/2015
Last updated
01/11/2022
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