Individual
HEATHER BOGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1700 CENTER ST, MOBILE, AL 36604-3301
(251) 415-1546
(251) 415-1026
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 434-3626
(251) 445-2464
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-144177
AL
Other
Enumeration date
06/01/2017
Last updated
03/05/2021
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