MEDICARE: STEFANIE MICHELE ROGERS MSN,RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	228738	OK
2	163W00000X	Registered Nurse	R0086617	OK

General Provider Information

NPI Number	:	1407749435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEFANIE MICHELE ROGERS MSN,RN

Provider Business Mailing Address
First Line	:	1011 HONOR HEIGHTS DR
Second Line	:
City	:	MUSKOGEE
State	:	OK
Zip	:	74401-1318
Country	:	US
Telephone Number	:	918-348-4044
Fax Number	:

Provider Business Practice Location Address
First Line	:	1011 HONOR HEIGHTS DR
Second Line	:
City	:	MUSKOGEE
State	:	OK
Zip	:	74401-1318
Country	:	US
Telephone Number	:	918-348-4044
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2025
Last Update Date	:	05/16/2026

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