Individual
KRISTEN MICHELLE BOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
330 W DEERFIELD RD, UNION CITY, IN 47390-1039
(765) 964-6200
Mailing address
330 W DEERFIELD RD, UNION CITY, IN 47390-1039
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008668A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28167153A
RN
IN
Enumeration date
11/07/2018
Last updated
06/15/2022
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