Provider Demographics
NPI:1194489096
Name:ROGERS, SARAH (CRNP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:ROGERS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:627 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:MD
Mailing Address - Zip Code:21639-1469
Mailing Address - Country:US
Mailing Address - Phone:410-482-9148
Mailing Address - Fax:833-914-0405
Practice Address - Street 1:627 N MAIN ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:MD
Practice Address - Zip Code:21639-1469
Practice Address - Country:US
Practice Address - Phone:410-482-9148
Practice Address - Fax:833-914-0405
Is Sole Proprietor?:No
Enumeration Date:2021-10-26
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR217176363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily