MEDICARE: HEATHER DONOVAN HOGAN CNM

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
1	367A00000X	Advanced Practice Midwife	157	NC

General Provider Information

NPI Number	:	1649507534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER DONOVAN HOGAN CNM

Provider Business Mailing Address
First Line	:	901 COURTLAND ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27401-1711
Country	:	US
Telephone Number	:	919-932-0378
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 W LEWIS ST STE 205
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27406-1343
Country	:	US
Telephone Number	:	919-932-0378
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/12/2009
Last Update Date	:	01/08/2026

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Directions to “ HEATHER DONOVAN HOGAN CNM” Practice Location

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