Provider Demographics
NPI:1386924199
Name:FRENTON-BOGGS, JULIA CAROLINE (LPN)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:CAROLINE
Last Name:FRENTON-BOGGS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 402
Mailing Address - Street 2:133 N. PLUM STREET
Mailing Address - City:GNADENHUTTEN
Mailing Address - State:OH
Mailing Address - Zip Code:44629
Mailing Address - Country:US
Mailing Address - Phone:330-556-8025
Mailing Address - Fax:
Practice Address - Street 1:133 N. PLUM ST.
Practice Address - Street 2:
Practice Address - City:GNADENHUTTEN
Practice Address - State:OH
Practice Address - Zip Code:44629
Practice Address - Country:US
Practice Address - Phone:330-556-8025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-24
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 135747-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse