Individual
CAROLYN JANE BOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
6363 N STATE HIGHWAY 161 STE 100, IRVING, TX 75038-2239
(469) 200-3272
Mailing address
409 MITCHELL RD, LORENA, TX 76655-9418
(254) 744-8206
(254) 857-4462
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
661649
TX
363LF0000X
Family Nurse Practitioner
Primary
AP125985
TX
Other
Enumeration date
05/28/2014
Last updated
06/29/2021
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