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

TaxonomyCodeLicense
Administrator Registered Nurse Primary 163WA2000XRN0000100171 (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.