Individual
MS. SHANA LEE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-4000
Mailing address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-4000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95008721
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
95008721
CA
Other
Enumeration date
10/06/2016
Last updated
07/17/2025
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