| Doctor Name: | BROOKE NICOLE BOGGS |
| NPI Number: | 1033556113 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, APRN |
| License Number: | 64593 |
| Business Practice Address: | 333 Maple St Sutherland, NE - 691653000 |
| Business Phone Number: | 3083864799 |
| Business Fax Number: | 3083864343 |
| Mailing Address: | 408 S Elm St, NORTH PLATTE |
| State: | NE |
| Postal Code: | 691017531 |
| Phone Number: | 3085306569 |
| Fax Number: | |
| NPI Enumeration Date: | 05/29/2013 |
| NPI Last Update Date: | 04/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | 64593 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NE |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |