Organization
PROSPERITY HEALTH AND WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE NICOLE BOGGS APRN (APRN/OWNER)
(308) 227-6110
Entity
Organization
Contact information
Practice address
403 LEXINGTON CIR STE I, GRAND ISLAND, NE 68803-9728
(309) 227-6119
(308) 888-0018
Mailing address
403 LEXINGTON CIR STE I, GRAND ISLAND, NE 68803-9728
(309) 227-6119
(308) 888-0018
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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