Provider Demographics
NPI:1821472648
Name:BOGENRIEDER, NANCY ELIZABETH (APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:ELIZABETH
Last Name:BOGENRIEDER
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 360
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-0360
Mailing Address - Country:US
Mailing Address - Phone:888-339-6065
Mailing Address - Fax:855-308-2340
Practice Address - Street 1:4740 COMMERCIAL PARK CT
Practice Address - Street 2:
Practice Address - City:CLEMMONS
Practice Address - State:NC
Practice Address - Zip Code:27012-9387
Practice Address - Country:US
Practice Address - Phone:336-245-9521
Practice Address - Fax:855-308-2340
Is Sole Proprietor?:No
Enumeration Date:2015-07-10
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5019673363L00000X, 363LF0000X
SC28513363LF0000X
OH0030338363LF0000X
TN33702363LF0000X
FLAPRN11012939363LF0000X
TXAP128233363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner