Individual
BARBARA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1122 KENILWORTH DR, SUITE 317, TOWSON, MD 21204-2139
(410) 296-4616
(410) 337-5068
Mailing address
1122 KENILWORTH DRIVE, SUITE 317, TOWSON, MD 21204-2146
(410) 296-4616
(410) 337-5068
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R078973
MD
367500000X
Certified Registered Nurse Anesthetist
RN358481L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101572VKC
NOVITAS MEDICARE
PA
05
—
101621261
—
PA
05
—
553301500
—
MD
01
—
572480ZCXJ
NOVITAS MEDICARE
MD
01
—
P01312471
RAILROAD MEDICARE
PA
Enumeration date
05/26/2006
Last updated
06/02/2017
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