Individual
AMY ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 COMMERCE PARK DR STE 110, WILLIAMSPORT, PA 17701-5475
(570) 323-6944
Mailing address
1000 COMMERCE PARK DR, WILLIAMSPORT, PA 17701-5475
(570) 323-6944
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN581304
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN581304
BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS
PA
Enumeration date
06/29/2023
Last updated
07/18/2023
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