Individual
MRS. OLIVIA C ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1968 IVY CREEK BLVD BLDG 2503, DURHAM, NC 27707-3455
(919) 765-1090
(919) 765-3498
Mailing address
1968 IVY CREEK BLVD BLDG 2503, DURHAM, NC 27707-3455
(919) 765-1090
(919) 765-3498
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5006425
NC
363LA2200X
Adult Health Nurse Practitioner
Primary
216597
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770981003
—
NC
01
—
19A8U
BCBS NC
NC
Enumeration date
12/19/2014
Last updated
02/21/2022
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