Provider Demographics
NPI:1316129273
Name:ROGERS, BARBARA BARNES (CRNP)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:BARNES
Last Name:ROGERS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:BARBARA
Other - Middle Name:ANNE
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2450 W HUNTING PARK AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19129-1302
Mailing Address - Country:US
Mailing Address - Phone:215-728-2780
Mailing Address - Fax:215-214-4003
Practice Address - Street 1:333 COTTMAN AVE
Practice Address - Street 2:FOX CHASE CANCER CENTER
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111-2497
Practice Address - Country:US
Practice Address - Phone:215-728-2780
Practice Address - Fax:215-214-4003
Is Sole Proprietor?:No
Enumeration Date:2007-12-03
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN298593L163W00000X
PAUP004432C363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse