Individual
CRYSTAL MICHELLE BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4315 PHYSICIANS BLVD, STE 101, HARRISBURG, NC 28075-7430
(704) 455-6521
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5015587
NC
363LF0000X
Family Nurse Practitioner
Primary
5015587
NC
Other
Enumeration date
04/30/2021
Last updated
07/15/2024
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