Provider Demographics
NPI:1013351329
Name:BOGGS, KAREN (RN)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:BOGGS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:KAREN
Other - Middle Name:DENISE
Other - Last Name:WASH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1816 COKESBURY RD
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29649-8966
Mailing Address - Country:US
Mailing Address - Phone:864-941-5600
Mailing Address - Fax:864-941-3430
Practice Address - Street 1:1816 COKESBURY RD
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29649-8966
Practice Address - Country:US
Practice Address - Phone:864-941-5600
Practice Address - Fax:864-941-3430
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-18
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC40655163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool