Bogdanov, Heather Del Villar

Bogdanov, Heather Del Villar is an sole proprietor health care provider with primary practice located at 1500 E. Duarte Road , Duarte CA 91010. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Bogdanov, Heather Del Villar can be contacted via phone (626) 256-4673.

Contact Information

Primary practice address
1500 E. Duarte Road Duarte CA 91010
Phone: (626) 256-4673
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP 17636 California
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 17636 California

Profile Details

NPI number 1558534685
LBN Legal business name Bogdanov, Heather Del Villar
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2008
Last updated Nov 12th, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558534685 NPPES
California Other CNS 2814 CLINICAL NURSE SPECIALIST
California Other PHN 66386 CLINICAL NURSE SPECIALIST
California Other NP 17636 CLINICAL NURSE SPECIALIST
California Other RN 617845 CLINICAL NURSE SPECIALIST

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