Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Bogan, LPN

Individual provider Licensed Practical Nurse · NPI 1033413653

Nicole Bogan, LPN is a Licensed Practical Nurse in North Syracuse, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2010
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

104 Waterbury Dr
North Syracuse, NY 13212-2721
Phone: (315) 214-3572
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 300629-1 (NY)

Record details

NPI number1033413653
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedDecember 23, 2010
Last updated in NPPESDecember 23, 2010
Mailing address104 Waterbury Dr, North Syracuse, NY 13212-2721

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