Individual provider · NPI-1

Nancy Bogdanovic, FNP-C

Nurse Practitioner, Family · Conroe, TX

NPI number1669986840
StatusActive
Last updated in NPPESApr 17, 2025

Details

NPI
1669986840
Entity type
Individual (NPI-1)
Name
Mrs. Nancy Bogdanovic
Credential
FNP-C
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 26, 2017
Certification date
Apr 17, 2025
Last updated
Apr 17, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family95008020CAYes
163W00000X Registered Nurse600435CA
163WA2000X Registered Nurse, Administrator600435CA
163WC1500X Registered Nurse, Community Health600435CA
163WH1000X Registered Nurse, Hospice600435CA
251G00000X Hospice Care, Community Based––
363LA2100X Nurse Practitioner, Acute Care95008020CA
363LA2200X Nurse Practitioner, Adult Health95008020CA
363LC1500X Nurse Practitioner, Community Health95008020CA
363LP2300X Nurse Practitioner, Primary Care95008020CA

Practice location

3421 W Davis St Ste 150
Conroe, TX 77304-1848

Phone 936-339-2373 · Fax 936-249-0318

Mailing address

2605 Woods Estates Dr
Conroe, TX 77304-4873

Phone 310-987-0862

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