Individual
MRS. JULIE RENEE BOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2525 W UNIVERSITY AVE STE 300, MUNCIE, IN 47303-3432
(765) 289-5420
(765) 281-2150
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71014159A
IN
363LF0000X
Family Nurse Practitioner
71014159B
IN
Other
Enumeration date
07/28/2023
Last updated
08/10/2023
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