Elias Mbogo, LPN
Licensed Practical Nurse in Bedford, MA. Individual provider (NPI-1).
NPI number1740889161
StatusActive
Last updated in NPPESOct 19, 2020
Details
- NPI
- 1740889161
- Entity type
- Individual (NPI-1)
- Name
- Elias Mbogo
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 19, 2020
- Certification date
- Oct 19, 2020
- Last updated
- Oct 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LN94430 | MA | Yes |
Practice location
200 Springs RdBedford, MA 01730-1114
Phone 781-687-3872
Mailing address
151 B StDracut, MA 01826-2153
Phone 781-228-1513
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All 7 Licensed Practical Nurse providers in Bedford · All 938 providers in Bedford
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