Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | APN.0996271-NP | CO |
NPI | 1003492463 |
---|---|
Provider Name | Brianna Bogdajewicz |
First Address | Aurora, CO 80011-7117 |
Second Address | Aurora, CO 80011-7112 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2021 |
Last Update Date | 26/04/2021 |