Individual provider · Type 1 NPI

Charles Bogan

Licensed Practical Nurse · Cleveland, OH

NPI number 1114474541 Active

Practice location

4656 Walford Rd, Apartment 114
Cleveland, OH 44128-7153

Call (216) 804-6678 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN. 127610 (OH)

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 1114474541

Charles Bogan's National Provider Identifier is 1114474541, issued on Sep 1, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Cleveland, OH. The record was last updated on Sep 1, 2016.