Healthcare Provider Details

I. General information

NPI: 1992012389
Provider Name (Legal Business Name): RHONDA MAXINE BOGGI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2010
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 KILVERT ST
WARWICK RI
02886-1379
US

IV. Provider business mailing address

475 KILVERT STREET
WARWICK RI
02886-1379
US

V. Phone/Fax

Practice location:
  • Phone: 908-590-0655
  • Fax:
Mailing address:
  • Phone: 908-590-0655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN03429
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: