Provider Demographics
NPI:1336637354
Name:ROGERS, SHARLENE ELIZABETH (CNP)
Entity Type:Individual
Prefix:MRS
First Name:SHARLENE
Middle Name:ELIZABETH
Last Name:ROGERS
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2579 N. SCENIC DRIVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310
Mailing Address - Country:US
Mailing Address - Phone:575-446-5100
Mailing Address - Fax:575-446-5134
Practice Address - Street 1:2579 N. SCENIC DR.
Practice Address - Street 2:SUITE B
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310
Practice Address - Country:US
Practice Address - Phone:575-446-5100
Practice Address - Fax:575-446-5134
Is Sole Proprietor?:No
Enumeration Date:2018-04-25
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMCNP-03555363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health