Nicole Bogan, LPN
NPI #1033413653 in North Syracuse, New York
Provider Information
- NPI Number
- 1033413653
- Entity Type
- Individual
- Name
- Nicole Bogan, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Dec 23, 2010
- Last Updated
- Dec 23, 2010
Practice Location
- Address
- 104 WATERBURY DR
- City
- North Syracuse
- State
- New York
- ZIP Code
- 13212-2721
- Phone
- (315) 214-3572
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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