Provider Demographics
NPI:1356419972
Name:FLANAGAN-ROGERS, SHARYN MAE (ARNP)
Entity type:Individual
Prefix:
First Name:SHARYN
Middle Name:MAE
Last Name:FLANAGAN-ROGERS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:298 WHITE MOUNTAIN HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:NH
Mailing Address - Zip Code:03818-2800
Mailing Address - Country:US
Mailing Address - Phone:603-447-8900
Mailing Address - Fax:603-447-4846
Practice Address - Street 1:298 WHITE MOUNTAIN HWY
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:NH
Practice Address - Zip Code:03818-4204
Practice Address - Country:US
Practice Address - Phone:603-447-8900
Practice Address - Fax:603-447-4846
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0321622305363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0369493OtherCIGNA
NH1363475OtherAETNA
NH30005662Medicaid
NHAA59583OtherHARVARD PILGRIM