Organization
SLR PROFESSIONAL NURSING CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANNAH ROGERS PMHNP-BC (CEO)
(949) 874-3391
Entity
Organization
Contact information
Practice address
1525 SUPERIOR AVE STE 200, NEWPORT BEACH, CA 92663-3639
(949) 229-3369
Mailing address
895 RONDA SEVILLA UNIT B, LAGUNA WOODS, CA 92637-4797
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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