Provider Demographics
NPI:1275605891
Name:ROGERS, AMY MICHELLE (MSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:MICHELLE
Last Name:ROGERS
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1231
Mailing Address - Street 2:
Mailing Address - City:MONTREAT
Mailing Address - State:NC
Mailing Address - Zip Code:28757-1231
Mailing Address - Country:US
Mailing Address - Phone:828-707-5373
Mailing Address - Fax:
Practice Address - Street 1:310 GAITHER CIRCLE
Practice Address - Street 2:
Practice Address - City:MONTREAT
Practice Address - State:NC
Practice Address - Zip Code:28757-3020
Practice Address - Country:US
Practice Address - Phone:828-707-5373
Practice Address - Fax:866-271-5356
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC167431163WC1500X
NC5015047363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health