National Provider Identifier

Catherine Bogan, RN

Catherine Bogan, RN is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Newark, NY and a listed phone number of (315) 573-4938.

NPI 1265903686Newark, NYFamily Nurse Practitioner

Profile Overview

NPI
1265903686
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
December 11, 2018
Last Updated
August 15, 2023

Practice Location

  • 515 Colton Ave
  • Newark, NY 14513-1812

Phone: (315) 573-4938

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1265903686
Entity Type
Individual
Last Name
Bogan
First Name
Catherine
Credential
RN
Mailing Street Address
515 Colton Ave
Mailing City
Newark
Mailing State
NY
Mailing ZIP Code
14513-1812
Mailing Country
US
Mailing Phone
(315) 573-4938
Practice Street Address
515 Colton Ave
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-1812
Practice Country
US
Practice Phone
(315) 573-4938
Enumeration Date
December 11, 2018
Last Updated
August 15, 2023
Sex
Female
Sole Proprietor
No
Certification Date
August 15, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)