Brooke Boggs LLC
NPI #1396300562 in Grand Island, Nebraska
Provider Information
- NPI Number
- 1396300562
- Entity Type
- Organization
- Organization Name
- Brooke Boggs LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- May 3, 2019
- Last Updated
- Dec 10, 2020
Practice Location
- Address
- 403 LEXINGTON CIR
- City
- Grand Island
- State
- Nebraska
- ZIP Code
- 68803-9728
- Phone
- (308) 227-6119
Authorized Official
- Name
- BROOKE NICOLE BOGGS, APRN
- Title
- OWNER/PROVIDER
- Phone
- (308) 530-6569
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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