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Contact Information

YELENA Y BOGUSLAVSKY, NP
2841 RIVER RD W
GOOCHLAND, VA23063-3200
 Phone: 804-556-7500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for YELENA Y BOGUSLAVSKY · (Female)

NPI # 1093271413
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 02/11/2019
Last updated 05/02/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0024176950
Hospital affiliation(s)
  • SOUTHSIDE REGIONAL MEDICAL CENTER - (Acute Care)
    200 MEDICAL PARK BOULEVARD
    PETERSBURG, VA 23805
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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