| Doctor Name: | MS. ESTELLA ANN BOGER |
| NPI Number: | 1003833435 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | GNP-C |
| License Number: | R25076 |
| Business Practice Address: | 1000 S Columbia Rd Grand Forks, ND - 582014032 |
| Business Phone Number: | 7017805000 |
| Business Fax Number: | |
| Mailing Address: | 1212 Cherry St, GRAND FORKS |
| State: | ND |
| Postal Code: | 582015549 |
| Phone Number: | 7012389443 |
| Fax Number: | |
| NPI Enumeration Date: | 07/15/2006 |
| NPI Last Update Date: | 07/31/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | R25076 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |