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Individual
CASSIDY BOGARD
Active
Individual
CASSIDY BOGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
114916153102
UT
363L00000X
Nurse Practitioner
Primary
11491615-3102
UT
363LF0000X
Family Nurse Practitioner
11491615-4405
UT
Other
Enumeration date
06/04/2024
Last updated
03/25/2026
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