Individual
MS. JEAN A BOGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
701 E TUDOR RD, SUITE 135, ANCHORAGE, AK 99503-7457
(907) 644-8044
(907) 644-8004
Mailing address
701 E TUDOR RD, SUITE 135, ANCHORAGE, AK 99503-7457
(907) 644-8044
(907) 644-8004
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
212
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2946
—
AK
Enumeration date
08/16/2006
Last updated
05/23/2013
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