Provider Demographics
NPI:1023871803
Name:BOEGLER, MAGDALYN (DNP, APRN, FNP-C)
Entity type:Individual
Prefix:DR
First Name:MAGDALYN
Middle Name:
Last Name:BOEGLER
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 N KICKAPOO AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:OK
Mailing Address - Zip Code:74804-0007
Mailing Address - Country:US
Mailing Address - Phone:405-214-1700
Mailing Address - Fax:
Practice Address - Street 1:3700 N KICKAPOO AVE STE 100
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:OK
Practice Address - Zip Code:74804-0007
Practice Address - Country:US
Practice Address - Phone:405-214-1700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK215924363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily