Provider Demographics
NPI:1700476074
Name:BOGGS, DANA L (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:L
Last Name:BOGGS
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 ASHLAND AVENUE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801
Mailing Address - Country:US
Mailing Address - Phone:828-258-8681
Mailing Address - Fax:828-253-4830
Practice Address - Street 1:2161 HENDERSONVILLE RD.
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704
Practice Address - Country:US
Practice Address - Phone:828-258-8681
Practice Address - Fax:828-253-4830
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-21
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5014001363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner