IndividualActive
Connie Ela Lupe Joy Bongar, AGNP
NPI 1174997290 · Primary Care Nurse Practitioner · Grand Junction, CO
Provider details
- NPI number
- 1174997290
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGNP
- Sex
- Female
- Sole proprietor
- No
- License
- APN.0991782 (CO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2686 Patterson Rd
Smmg Phys Med & Rehab
Grand Junction, CO 81506-8817
Phone: (970) 298-6005
Fax: (970) 298-7138
Approximate (ZIP-level) locationGet directions
Mailing address
2686 Patterson Rd
Grand Junction, CO 81506-8817
Registry dates
- Enumerated
- 2015-12-01
- Last updated
- 2017-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.