Individual
DUSTA L. BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
1990 HOLTON AVE E, BIG STONE GAP, VA 24219-3350
(276) 523-3111
Mailing address
PO BOX 823, WISE, VA 24293-0823
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024123932
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78027596
—
KY
01
—
P00350206
RAILROAD MEDICARE
VA
Enumeration date
06/07/2006
Last updated
02/21/2022
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