Individual provider · Type 1 NPI

Chad Anthony Bogue, NP

Family Nurse Practitioner · Portage, IN

NPI number 1508411315 Active

Practice location

3630 Willowcreek Rd
Portage, IN 46368-5075

Fax (219) 759-1197

Mailing address

2022 Kelle Dr
Chesterton, IN 46304-8708

Other practice locations

  • 3125 Willowcreek Rd, Portage, IN 46368-4423 · (219) 762-3175
  • 2000 Roosevelt Rd Ste 104, Valparaiso, IN 46383-2801 · (219) 395-3040

Specialties and licenses

TaxonomyCodeLicense
School Nurse Practitioner 363LS0200X28163831A (IN)
Family Nurse Practitioner Primary 363LF0000X71009590A (IN)

Family Nurse Practitioner: Definition to come...

21 other providers at this address

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About NPI 1508411315

Chad Anthony Bogue, NP's National Provider Identifier is 1508411315, issued on Aug 8, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portage, IN. The record was last updated on Sep 10, 2020.