Individual
ANDER MICHELLE BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(817) 250-2000
Mailing address
PO BOX 840853, DALLAS, TX 75284-9641
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP145347
TX
390200000X
Student in an Organized Health Care Education/Training Program
901794
TX
Other
Enumeration date
10/16/2019
Last updated
04/07/2020
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