Individual
WILLIAM JAMES BOGERTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 775-7111
Mailing address
160 ALLEN ST, RUTLAND, VT 05701-4560
(802) 775-7111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
026.0117774
VT
363LA2100X
Acute Care Nurse Practitioner
Primary
101.0137417
VT
363LF0000X
Family Nurse Practitioner
101.0137417
VT
Other
Enumeration date
09/23/2024
Last updated
02/11/2025
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