Debra Michelle Bogar
Nurse Practitioner in Redlands, CA. Individual provider (NPI-1).
NPI number1962039503
StatusActive
Last updated in NPPESMay 14, 2021
Details
- NPI
- 1962039503
- Entity type
- Individual (NPI-1)
- Name
- Debra Michelle Bogar
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2020
- Certification date
- May 14, 2021
- Last updated
- May 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95016461 | CA | Yes |
Practice location
1809 W Redlands BlvdRedlands, CA 92373-8054
Phone 909-735-2446
Mailing address
23988 Lone Pine DrMoreno Valley, CA 92557-2964
Phone 916-595-4844
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All 22 Nurse Practitioner providers in Redlands · All 3,292 providers in Redlands
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