Individual provider · Type 1 NPI
Maribel Berenice Boggess, NP
Nurse Practitioner · Bloomington, IN
Practice location
2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 28281613A (IN) |
| Nurse Practitioner Primary | 363L00000X | 71014311A (IN) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1558055079
Maribel Berenice Boggess, NP's National Provider Identifier is 1558055079, issued on Jun 7, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bloomington, IN. The record was last updated on Oct 31, 2025.