Individual provider · Type 1 NPI

Nicole Bogan, LPN

Licensed Practical Nurse · North Syracuse, NY

NPI number 1033413653 Active

Practice location

104 Waterbury Dr
North Syracuse, NY 13212-2721

Call (315) 214-3572 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X300629-1 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1033413653

Nicole Bogan, LPN's National Provider Identifier is 1033413653, issued on Dec 23, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in North Syracuse, NY. The record was last updated on Dec 23, 2010.