Individual
CYNTHIA L BOGACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2300 S ROCK CREEK PKWY APT 14-101, SUPERIOR, CO 80027-4414
(618) 520-7504
Mailing address
2300 S ROCK CREEK PKWY APT 14-101, SUPERIOR, CO 80027-4414
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
041433621
IL
163WG0000X
General Practice Registered Nurse
Primary
1647997
CO
Other
Enumeration date
01/07/2018
Last updated
01/07/2018
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