# SLR PROFESSIONAL NURSING CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346113644
- **Authorized official:** SUSANNAH ROGERS PMHNP-BC (CEO)
- **Authorized official phone:** (949) 874-3391

## Contact information

- **Practice address:** 1525 SUPERIOR AVE STE 200, NEWPORT BEACH, CA 92663-3639
- **Practice address phone:** (949) 229-3369
- **Mailing address:** 895 RONDA SEVILLA UNIT B, LAGUNA WOODS, CA 92637-4797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/24/2025
- **Last updated:** 09/24/2025