Glenn Bogus is a Nurse Practitioner in Frontenac, Missouri. Glenn Bogus practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Glenn Bogus is 1912027533. The last update date is 2007-07-08.
Glenn Bogus's current location address is 47 Portland Dr, Frontenac, Missouri. You can contact this provider via phone number 3149976173. The mailing address for Glenn Bogus is 47 Portland Dr, Frontenac, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn Bogus |
|---|---|
| Address | 47 Portland Dr, Frontenac, Missouri |
| Phone Number | 3149976173 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1912027533 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 47 Portland Dr |
|---|---|
| City | Frontenac |
| State | Missouri (MO) |
| Post Code | 631313300 |
| Phone Number | 3149976173 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 2001006321 |
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Definition: (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 certifi |
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What is the unique 10-digit identifier code assigned to Glenn Bogus by the Centers for Medicare & Medicaid Services?
The Glenn Bogus has been issued the NPI (National Provider Identifier) 1912027533 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Glenn Bogus's physical address?
The Glenn Bogus is physically located at 47 Portland Dr, in the city of Frontenac, MO, with the postal code 631313300.
What is Glenn Bogus's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Glenn Bogus's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1912027533 to Glenn Bogus?
The Centers for Medicare & Medicaid Services assigned the 1912027533 to Glenn Bogus on 2007-03-29.
As of what date were the Glenn Bogus's details last updated?
The information pertaining to the Glenn Bogus, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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