Healthcare Provider Details

I. General information

NPI: 1932051489
Provider Name (Legal Business Name): STEPHANIE ROGERS FNP-BC, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/09/2026
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169 W 2710 SOUTH CIR STE 202A
ST GEORGE UT
84790-7205
US

IV. Provider business mailing address

169 W 2710 SOUTH CIR STE 202A
ST GEORGE UT
84790-7205
US

V. Phone/Fax

Practice location:
  • Phone: 385-202-3955
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number10206786-4405
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number10206786-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: