Individual provider · Type 1 NPI

Mary Clare Rogala, CNP;PA C

Registered Nurse · Wilkes Barre, PA

NPI number 1861403214 Active

Practice location

1111 E End Blvd
Wilkes Barre, PA 18711-0030

Call (570) 824-3521 Map

Fax (570) 819-5173

Mailing address

720 Center St
Clarks Summit, PA 18411-1962

Specialties and licenses

Taxonomy	Code	License
Registered Nurse	163W00000X	RN15737L (PA)
Registered Nurse Primary	163W00000X	1975931 (NY)
Physician Assistant	363A00000X	00022321 (NY)
Nurse Practitioner	363L00000X	RN960459 (DC)
Adult Health Nurse Practitioner	363LA2200X	TP000299C (PA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1861403214

Mary Clare Rogala, CNP;PA C's National Provider Identifier is 1861403214, issued on Aug 11, 2006. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Wilkes Barre, PA. The record was last updated on Sep 11, 2025.