Provider Demographics
NPI:1952825168
Name:VOGLESON, ALICIA CAMILLE (APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:CAMILLE
Last Name:VOGLESON
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 ANNAND DR STE 3
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-3719
Mailing Address - Country:US
Mailing Address - Phone:302-789-0545
Mailing Address - Fax:302-380-7587
Practice Address - Street 1:2601 ANNAND DR STE 3
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-3719
Practice Address - Country:US
Practice Address - Phone:302-789-0545
Practice Address - Fax:302-380-7587
Is Sole Proprietor?:No
Enumeration Date:2017-07-29
Last Update Date:2018-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0001021363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily