Doresea L Lewis-Bogan in Detroit - Nurse Practitioner
Doresea L Lewis-Bogan - NPI 1124218466
Doresea L Lewis-Bogan is a Nurse Practitioner in Detroit, Michigan. Doresea L Lewis-Bogan practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Doresea L Lewis-Bogan is 1124218466. The last update date is 2022-01-18.
Doresea L Lewis-Bogan's current location address is 4340 Leslie St, Detroit, Michigan. You can contact this provider via phone number 7345027308. The mailing address for Doresea L Lewis-Bogan is 4340 Leslie St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Doresea L Lewis-Bogan |
|---|---|
| Address | 4340 Leslie St, Detroit, Michigan |
| Phone Number | 7345027308 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | APRN,BC |
NPI Number Detail
| NPI Number | 1124218466 |
|---|---|
| Provider Enumeration Date | 2007-08-01 |
| Last Updated Date | 2022-01-18 |
Provider Mailing Address Detail
| Address | 4340 Leslie St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482383245 |
| Phone Number | 7345027308 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 4704241492 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1124218466 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Doresea L Lewis-Bogan by the Centers for Medicare & Medicaid Services (CMS)?
The Doresea L Lewis-Bogan has been assigned the NPI (National Provider Identifier) 1124218466. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Doresea L Lewis-Bogan is physically located?
The Doresea L Lewis-Bogan is situated at the following address: 4340 Leslie St, Detroit, MI 482383245.
What is Doresea L Lewis-Bogan's area of expertise and its corresponding taxonomy classification?
The Doresea L Lewis-Bogan's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
When did Doresea L Lewis-Bogan receive its 1124218466 assignment?
The Doresea L Lewis-Bogan was assigned its 1124218466 on 2007-08-01, which is the date when this unique identifier was issued to the organization.
When was the information regarding Doresea L Lewis-Bogan most recently updated?
The details pertaining to the Doresea L Lewis-Bogan, including its address, specialty, and other relevant information, were last refreshed on 2022-01-18.
Address: 8906 Spanish Ridge Ave Ste 202, Las Vegas, NV
Address: Po Box 440100, Nashville, TN
Address: 1153 E Main St, Lancaster, OH
Address: Po Box 2526, Fort Wayne, IN
Address: 2350 N University Dr Unit 841423, Pembroke Pines, FL
Address: 1514 Jefferson Hwy, New Orleans, LA
Address: 166 E Main St, Hendersonville, TN
Address: 53-59 Public Sq, Watertown, NY
Address: 500 N Hiatus Rd Ste 200, Pembroke Pines, FL
Address: 1517 Hearthstone Dr, Plano, TX
Address: 5800 Monroe St, Sylvania, OH
Address: 29 Beech Rd, Glen Rock, NJ
Address: 2815 Dustin Rd, Oregon, OH
Address: 409 Bayshore Blvd, Tampa, FL
Address: Po Box 331, Liberty Lake, WA