Provider Demographics
NPI:1982301776
Name:ROGERS, SARAH KATHLEEN (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:KATHLEEN
Last Name:ROGERS
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:QUERY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1101 MEDICAL ARTS AVE NE STE 4A
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-2700
Mailing Address - Country:US
Mailing Address - Phone:505-272-3935
Mailing Address - Fax:
Practice Address - Street 1:1101 MEDICAL ARTS AVE NE STE 4A
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-2700
Practice Address - Country:US
Practice Address - Phone:505-554-7804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM71921363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner