Provider Demographics
NPI:1679306070
Name:ROGERS, ANGELA STEVENS
Entity type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:STEVENS
Last Name:ROGERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-2207
Mailing Address - Country:US
Mailing Address - Phone:984-260-1131
Mailing Address - Fax:877-712-6933
Practice Address - Street 1:501 W MARKET ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-2207
Practice Address - Country:US
Practice Address - Phone:984-260-1131
Practice Address - Fax:877-712-6933
Is Sole Proprietor?:No
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator