Provider Demographics
NPI:1083996011
Name:VOGES, BONNIE SUE (APRN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:SUE
Last Name:VOGES
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3815 E BELL RD STE 1500
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-2177
Mailing Address - Country:US
Mailing Address - Phone:602-962-9430
Mailing Address - Fax:
Practice Address - Street 1:3815 E BELL RD STE 1500
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-2177
Practice Address - Country:US
Practice Address - Phone:602-962-9430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-15
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ280448363LP0808X
AZRN135246163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse