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Individual

MR. NATHAN BOGGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN NP-C

Contact information

Practice address
1115 20TH ST STE 107, HUNTINGTON, WV 25703-0003
(304) 691-1900
Mailing address
2 STONECREST DR, HUNTINGTON, WV 25701-9391
(304) 525-2273
(304) 525-2165

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN63231-NP-C
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0344597
OH
05
1205393741
WV
05
7100597160
KY
Enumeration date
02/20/2019
Last updated
09/11/2025
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