| NPI | 1164047395 |
|---|---|
| Former Name | BETHANY MARIE BOGANTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0027203) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0027203) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0027203) | |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2025-07-21 |