Individual
MAKAYLA BOGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
800 E LOCUST ST, OLNEY, IL 62450-2553
(618) 395-2131
Mailing address
800 E LOCUST ST, OLNEY, IL 62450-2553
(618) 395-2131
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.027522
IL
Other
Enumeration date
02/10/2022
Last updated
11/08/2023
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