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NPI Code Detail

MEDICARE: MRS. NANCY ELIZABETH BOGENRIEDER APRN, FNP-C

MEDICARE: MRS. NANCY ELIZABETH BOGENRIEDER APRN, FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner5019673NC

General Provider Information

NPI Number : 1821472648
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NANCY ELIZABETH BOGENRIEDER APRN, FNP-C
Provider Business Mailing Address
First Line : PO BOX 360
Second Line :
City : SYLVA
State : NC
Zip : 28779-0360
Country : US
Telephone Number : 888-339-6065
Fax Number : 855-308-2340
Provider Business Practice Location Address
First Line : 4740 COMMERCIAL PARK CT
Second Line :
City : CLEMMONS
State : NC
Zip : 27012-9387
Country : US
Telephone Number : 336-245-9521
Fax Number : 855-308-2340
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2015
Last Update Date : 04/25/2025

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