Provider Demographics
NPI:1871920496
Name:ROGERS, SHARON D (RN)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:D
Last Name:ROGERS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 VARNER AVE
Mailing Address - Street 2:
Mailing Address - City:GREELEYVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29056
Mailing Address - Country:US
Mailing Address - Phone:843-426-2116
Mailing Address - Fax:843-426-2141
Practice Address - Street 1:7 VARNER AVE
Practice Address - Street 2:
Practice Address - City:GREELEYVILLE
Practice Address - State:SC
Practice Address - Zip Code:29056
Practice Address - Country:US
Practice Address - Phone:843-426-2116
Practice Address - Fax:843-426-2141
Is Sole Proprietor?:No
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC60039163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool