Provider Demographics
NPI:1538611975
Name:ROHRER, STEPHEN (CNP)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:ROHRER
Suffix:
Gender:M
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 FALLS BLVD N
Mailing Address - Street 2:
Mailing Address - City:WYNNE
Mailing Address - State:AR
Mailing Address - Zip Code:72396-4027
Mailing Address - Country:US
Mailing Address - Phone:870-587-0800
Mailing Address - Fax:870-587-0799
Practice Address - Street 1:1920 FALLS BLVD N
Practice Address - Street 2:
Practice Address - City:WYNNE
Practice Address - State:AR
Practice Address - Zip Code:72396-4027
Practice Address - Country:US
Practice Address - Phone:870-587-0800
Practice Address - Fax:870-587-0799
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-02
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA004938363LA2100X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care