Individual
DEREK ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 KETTLE POINT AVE # 1, EAST PROVIDENCE, RI 02914-5375
(401) 457-1500
Mailing address
248 HOPE ST, BRISTOL, RI 02809-2028
(210) 823-8319
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP109787
TX
367500000X
Certified Registered Nurse Anesthetist
APRN04344
RI
367500000X
Certified Registered Nurse Anesthetist
RN10005324
MA
Other
Enumeration date
01/24/2006
Last updated
06/11/2026
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