Individual
ANNEKIE T BOGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(203) 576-6000
Mailing address
287 W SPRING ST, WEST HAVEN, CT 06516-3354
(203) 443-9500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
122599
CT
363LF0000X
Family Nurse Practitioner
Primary
008541
CT
Other
Enumeration date
09/26/2019
Last updated
11/17/2021
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