Individual provider · Type 1 NPI
Deandria Marie Bogart, R.N.
Administrator Registered Nurse · Erwin, TN
NPI number
1437218385
Active
Practice location
101OKOLONA Drive
Erwin, TN 37650
Fax (423) 743-9105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | RN0000100171 (TN) |
Administrator Registered Nurse: Definition to come...
About NPI 1437218385
Deandria Marie Bogart, R.N.'s National Provider Identifier is 1437218385, issued on Dec 6, 2006. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Erwin, TN. The record was last updated on Jul 8, 2007.