Individual
STACY ANN ROHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
900 N. 1ST STREET, SPRINGFIELD, IL 62702-3749
(217) 528-7541
(217) 525-1007
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
041-338805
IL
363LW0102X
Women's Health Nurse Practitioner
Primary
209011362
IL
Other
Enumeration date
09/13/2010
Last updated
05/20/2020
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