Cynthia L Bogacki, RN
Individual provider Active NPI General Practice Registered Nurse · Superior, CO
NPI 1831606227 · NPPES record last updated Jan 7, 2018
Key facts
- NPI
- 1831606227
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- 1647997 (CO)
- Practice address
- 2300 S Rock Creek Pkwy Apt 14-101
Superior, CO 80027-4414 - Phone
- (618) 520-7504
- NPI assigned
- Jan 7, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1647997 | CO | MD | General Practice Registered Nurse |
| 041433621 | IL | MD | General Practice Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 041433621 | IL | |
| General Practice Registered Nurse | 163WG0000X | 1647997 | CO | Yes |
Addresses
Primary practice location
2300 S Rock Creek Pkwy Apt 14-101
Superior, CO 80027-4414
Mailing address
2300 S Rock Creek Pkwy Apt 14-101
Superior, CO 80027-4414
Other providers in Superior, CO
- Susan R Belsky
- Korina R Bersentes
- Swati Bhakta
- Morgan Bishop
- Pamela Bloom
- Boulder Community Health
- Boulder Community Health
- Boulder Community Health
- Boulder Community Health
- Boulder Community Health
All providers in Superior, CO · General Practice Registered Nurse in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.