Provider Demographics
NPI:1023871894
Name:ROHER, ELIZABETH LEONORE (PMHNP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:LEONORE
Last Name:ROHER
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 N CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-3521
Mailing Address - Country:US
Mailing Address - Phone:443-223-8260
Mailing Address - Fax:
Practice Address - Street 1:237 N CEDAR ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-3521
Practice Address - Country:US
Practice Address - Phone:443-223-8260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-02
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1668788163WM0102X
COAPN.0999488-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn