Provider Demographics
NPI:1295859825
Name:VOGMAN, NATAN (RN)
Entity Type:Individual
Prefix:
First Name:NATAN
Middle Name:
Last Name:VOGMAN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14837 HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-6382
Mailing Address - Country:US
Mailing Address - Phone:952-953-9783
Mailing Address - Fax:
Practice Address - Street 1:14837 HAVEN DR
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-6382
Practice Address - Country:US
Practice Address - Phone:952-953-9783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR 147198-4163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health