Individual
MR. PHILLIP BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
4755 OGLETOWN STANTON RD STE 2E99, NEWARK, DE 19718-2200
(302) 733-5982
(302) 733-6081
Mailing address
PO BOX 1088, ARTESIA, CA 90702-1088
(562) 869-1070
(562) 286-8777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0073431
DE
363L00000X
Nurse Practitioner
LP-0010755
DE
363LA2100X
Acute Care Nurse Practitioner
95003204
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
LP-0010755
DE
Other
Enumeration date
10/08/2015
Last updated
10/06/2025
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