Individual provider · Type 1 NPI
Eileen Sarah Heanue-Bogue, ANP
Adult Health Nurse Practitioner · Budd Lake, NJ
NPI number
1114355195
Active
Practice location
125 U.s. Route 46
Budd Lake, NJ 07828
Fax (973) 691-1198
Mailing address
125 Route 46
Budd Lake, NJ 07828
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 26NJ00451400 (NJ) |
| Adult Health Nurse Practitioner | 363LA2200X | F303822-1 (NY) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1114355195
Eileen Sarah Heanue-Bogue, ANP's National Provider Identifier is 1114355195, issued on Oct 29, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Budd Lake, NJ. The record was last updated on Oct 29, 2013.