Bogart, Tammy V
Bogart, Tammy V is an individual health care provider with primary practice located at 235 Evergreen Ave , Appomattox VA 24522-4501. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bogart, Tammy V can be contacted via phone (434) 352-7420.Contact Information
Primary practice address
235 Evergreen Ave
Appomattox VA 24522-4501
Phone: (434) 352-7420
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | F302247-1 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | F302247-1 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | F302247-1 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | F302247-1 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 0024181135 | Virginia |
Profile Details
| NPI number | 1366543316 |
|---|---|
| LBN Legal business name | Bogart, Tammy V |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Mar 2nd, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366543316 | NPPES |
| New Mexico | Other | 302247 | LICENSE |
| New Mexico | MEDICAID | 01925084 | LICENSE |
| New Mexico | Other | 122862CK | LICENSE |
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