Individual
DUSTA L. BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
121 STACY DR, PENNINGTON GAP, VA 24277-1929
(276) 546-1182
(276) 546-2497
Mailing address
121 STACY DR, PENNINGTON GAP, VA 24277-1929
(276) 546-1182
(275) 546-2497
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
08/06/2026
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