Healthcare Provider Details

I. General information

NPI: 1679400345
Provider Name (Legal Business Name): MEGAN D HOGAN MSN, RN, CPNP, CCRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 ALASKAN WAY APT 413
SEATTLE WA
98101-1068
US

IV. Provider business mailing address

1900 ALASKAN WAY APT 413
SEATTLE WA
98101-1068
US

V. Phone/Fax

Practice location:
  • Phone: 803-238-5129
  • Fax:
Mailing address:
  • Phone: 803-238-5129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN.RN.60029176
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: