Individual
MIKAYLA BOGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1250 E 3900 S STE 460, SALT LAKE CITY, UT 84124-1349
(801) 262-3564
Mailing address
PO BOX 100253, ATLANTA, GA 30384-0253
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13911625-4405
UT
Other
Enumeration date
08/04/2025
Last updated
09/15/2025
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