Healthcare Provider Details

I. General information

NPI: 1720916380
Provider Name (Legal Business Name): SAMANTHA ELIZABETH HOGGAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8801 JEFFERSON ST NE STE 102A
ALBUQUERQUE NM
87113-2438
US

IV. Provider business mailing address

6688 N CENTRAL EXPY STE 1300
DALLAS TX
75206-3950
US

V. Phone/Fax

Practice location:
  • Phone: 505-594-4956
  • Fax: 505-814-6828
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN-71798
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: