NPI 1467824821 · live from the CMS NPI Registry
Mary Kathryn Bogush, FNP
Nurse Practitioner, Family in Newark, DE. National Provider Identifier 1467824821, active.
NPI record
| NPI | 1467824821 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 200 Hygeia Dr, Suite 2100, Newark, DE 19713 |
| Practice phone | 302-623-0188 |
| Mailing address | 200 Hygeia Dr, Suite 2300 - Physician Contracting, Newark, DE 19713 |
| Enumerated | October 26, 2015 |
| Last updated | October 26, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | L1-0010703 (DE) |
| Nurse Practitioner, Family primary | 363LF0000X | LG-0000873 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.