Individual
KRISTEN ELIZABETH ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 PATEWOOD DR STE B480, GREENVILLE, SC 29615-6327
(864) 454-4570
(864) 454-4575
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
23280
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23280
SC BOARD OF NURSING APRN LICENSE
SC
05
—
NP6522
—
SC
Enumeration date
12/16/2019
Last updated
05/27/2021
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