Individual
MRS. GRACETTA WASHINGTON BOGAR
Active
Individual
MRS. GRACETTA WASHINGTON BOGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
31066
SC
363LF0000X
Family Nurse Practitioner
BOGA-99SP9
NC
Other
Enumeration date
02/16/2023
Last updated
09/04/2026
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