Individual
ASTRA BOGARDUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
69 RAILROAD AVE, HILO, HI 96720-7509
(808) 935-2718
Mailing address
PO BOX 492435, KEAAU, HI 96749-2435
(808) 769-8886
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
88534
HI
Other
Enumeration date
07/28/2019
Last updated
07/28/2019
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