Individual
MRS. NISHA BOGOSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 W STATE ST STE B, WEST LAFAYETTE, IN 47906-3438
(765) 494-0111
Mailing address
1400 WEST STATE STREET., BUILDING B, SUITE C, WEST LAFAYETTE, IN 47906
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71007830B
IN
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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