Individual provider · NPI-1

Samantha Boggs, NP

Nurse Practitioner, Gerontology · League City, TX

NPI number1124568324
StatusActive
Last updated in NPPESMar 27, 2024

Details

NPI
1124568324
Entity type
Individual (NPI-1)
Name
Samantha Boggs
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Mar 7, 2017
Certification date
Mar 27, 2024
Last updated
Mar 27, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LG0600X Nurse Practitioner, GerontologyAP133525TXYes
363LA2100X Nurse Practitioner, Acute CareAP133525TX

Other names

  • Samantha E Finegan (Former Name)

Practice location

2240 Gulf Fwy S Ste 2.100
League City, TX 77573-5143

Phone 832-505-1800

Mailing address

Po Box 650859
Dept 710
Dallas, TX 75265

Phone 409-772-2222

Other practice locations

301 University Blvd
Galveston, TX 77555-2761

Phone 409-210-8422

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