Healthcare Provider Details

I. General information

NPI: 1588543102
Provider Name (Legal Business Name): ARIANA BOGWICZ CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 08/28/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 NORTHLINE AVE STE 130
GREENSBORO NC
27408-7600
US

IV. Provider business mailing address

3200 NORTHLINE AVE STE 130
GREENSBORO NC
27408-7600
US

V. Phone/Fax

Practice location:
  • Phone: 336-286-6565
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: