Most Relevant Information
Provider Data
| NPI Number: | 1003833435 |
| Provider Name: | ESTELLA ANN BOGER GNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LG0600X |
| Specialty: | Nurse Practitioner |
| License Number: | R25076 |
Most Important Dates
| Enumeration Date: | 07/15/2006 |
| Last Updated: | 07/31/2012 |
Provider Practice Location
1000 S COLUMBIA RD
GRAND FORKS
ND
582014032
Practice Location Phone/Fax
| Phone: | 7017805000 |
| Fax: |
Provider Mailing Location
1212 CHERRY ST
GRAND FORKS
ND
582015549
Provider Mailing Phone/Fax
| Phone: | 7012389443 |
| Fax: |