Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SCOTT BOGDANOFF
Active Sole ProprietorPrimary Care Nurse Practitioner · FEDERAL WAY, WA
Registration Details
- NPI Number
- 1356755862
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2014 (11.862541879919 yrs)
- Last Updated
- Oct 29, 2019
- Licenses
-
AP60482272 (WA)AP60482272 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
505 S 336TH ST STE 500FEDERAL WAY, WA, 980038300Browse WA providers · Browse ZIP 98003
- Phone
- 2069623535
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
- Additional Specialty
- Primary Care Nurse Practitioner
Other Primary Care Nurse Practitioner Providers in FEDERAL WAY, WA
| Name | Credential | NPI |
|---|---|---|
| GLORIA YOUNGJU NAM | ARNP | 1609836717 |
| MS. DIANA LYNN STONE-POORE | MSN, ARNP | 1942387550 |
| SAMANTHA BERGSTROM | FNP-BC | 1093671877 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.