Connie Ela Lupe Joy Bongar, AGNP

Individual Active
NPI 1174997290
Primary Care Nurse Practitioner Grand Junction, CO

Connie Ela Lupe Joy Bongar, AGNP holds NPI 1174997290, with a primary taxonomy of primary care nurse practitioner and a practice location in Grand Junction, CO. The number was issued on December 1, 2015 and the NPPES record was last updated on January 4, 2017. The record lists 3 taxonomy codes.

This record hasn't been updated in NPPES since 2017. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X APN.0991782-NP (CO)
Adult Health Nurse Practitioner 363LA2200X APN.0991782 (CO)
Gerontology Nurse Practitioner 363LG0600X APN.0991782-NP (CO)

Practice location

2686 Patterson Rd
Smmg Phys Med & Rehab
Grand Junction, CO 81506-8817
Phone: (970) 298-6005

Local context

Active NPPES records list 10 providers with primary care nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 224 in Colorado and 13,136 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Connie Ela Lupe Joy Billones Bongar
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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