Individual
MS. STACY ROGERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP, PMHNP-BC
Contact information
Practice address
95 ENTERPRISE ST STE 104, ELIZABETH, PA 15037-2070
(724) 880-8809
Mailing address
648 CLARENDON AVE, UNIONTOWN, PA 15401-4116
(724) 880-8809
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP033403
PA
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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