# MS. TAMMY V BOGART

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366543316
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 0024181135 | VA | Yes |
| 363L00000X | Nurse Practitioner | F302247-1 | NY | — |
| 363LA2200X | Adult Health Nurse Practitioner | F302247-1 | NY | — |
| 363LW0102X | Women's Health Nurse Practitioner | F302247-1 | NY | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | F302247-1 | NY | — |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 03/02/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01925084 | — | NY |
| 01 | — | 122862CK | PREFERRED CARE PROVIDER \# | NY |
| 01 | — | 302247 | LICENSE | NM |