Individual provider · Type 1 NPI
Mariah Nicole Boggess, APRN-CNP
Nurse Practitioner · Charleston, WV
Practice location
3415 Maccorkle Ave SE
Charleston, WV 25304-1334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 121170 (WV) |
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 1942024682
Mariah Nicole Boggess, APRN-CNP's National Provider Identifier is 1942024682, issued on Nov 11, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charleston, WV. The record was last updated on Jan 27, 2026.