Individual
HELAINE M BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N. NPF
Contact information
Practice address
1111 N CHINA LAKE BLVD, RIDGECREST, CA 93555-3196
(760) 446-8281
(760) 446-8289
Mailing address
1111 N CHINA LAKE BLVD, RIDGECREST, CA 93555-3196
(760) 446-8281
(760) 446-8289
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
535651
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G356060
BLUE CROSS
—
05
—
00G356060
—
CA
01
—
0616650001
DME
—
01
—
110039741
RAILROAD MEDICARE
—
01
—
220561534
PALMETTO
—
01
—
654351
AHI HEALTHLINK
—
01
—
93555B130
WPS TRICARE
—
01
—
G35606
IMG
—
01
—
ZZZ27989Z
BLUE SHIELD
—
Enumeration date
06/13/2005
Last updated
03/07/2023
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