Individual
MARY KATHRYN BOGUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
200 HYGEIA DR, SUITE 2100, NEWARK, DE 19713-2049
(302) 623-0188
(302) 623-0554
Mailing address
200 HYGEIA DR, SUITE 2300 - PHYSICIAN CONTRACTING, NEWARK, DE 19713-2049
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0010703
DE
363LF0000X
Family Nurse Practitioner
Primary
LG-0000873
DE
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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