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NPI Code Detail

MEDICARE: MICHAEL HOGAN NP

MEDICARE:   MICHAEL  HOGAN  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN119291LA
2363LF0000XFamily Nurse PractitionerAP08468LA

General Provider Information

NPI Number : 1194100891
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL HOGAN NP
Provider Business Mailing Address
First Line : 24950 ARLINGTON AVE
Second Line :
City : DENHAM SPRINGS
State : LA
Zip : 70726-6602
Country : US
Telephone Number : 225-892-4805
Fax Number :
Provider Business Practice Location Address
First Line : 24950 ARLINGTON AVE
Second Line :
City : DENHAM SPRINGS
State : LA
Zip : 70726-6602
Country : US
Telephone Number : 225-892-4805
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2015
Last Update Date : 07/22/2015

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