Individual
NICOLE BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
900 INDIANA AVE, PUEBLO, CO 81004-3766
(719) 924-9021
Mailing address
496 S HAHNS PEAK AVE, PUEBLO WEST, CO 81007-6031
(405) 219-4656
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0996143
CO
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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