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Elias Mbogo, LPN
Licensed Practical Nurse in Bedford, Massachusetts
NPI 1740889161

Elias Mbogo is a Licensed Practical Nurse based in Dracut, MA. Elias Mbogo practices in Bedford, MA and has the professional credentials of LPN. The NPI Number for Elias Mbogo is 1740889161 and holds a License No. LN94430 (Massachusetts).

The current practice location address for Elias Mbogo is 200 Springs Rd, Bedford, MA and can be reached out via phone at 781-687-3872. You can also correspond with Elias Mbogo through the mailing address at 151 B ST, DRACUT, MA - 01826-2153 (mailing address contact number: 781-228-1513).

Location: 200 Springs Rd, Bedford, MA, 01826-2153
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740889161
Provider Name
Elias Mbogo
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
200 Springs Rd, Bedford, MA, 01826-2153
Phone Number
781-687-3872
Fax Number
Provider Enumeration Date
10/19/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LN94430 01 MA NURSING LICENSE
institution
Provider Business Practice Location Address Details
Address
200 Springs Rd
City
Bedford
State
Massachusetts
Zip
01730-1114
Phone Number
781-687-3872
Fax Number
person
Provider Business Mailing Address Details
Address
200 Springs Rd
City
Bedford
State
Massachusetts
Zip
01730-1114
Phone Number
781-687-3872
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
LN94430 (Massachusetts)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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