Individual
ALISA HOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
310 S PENN ST, SUITE 202, ABERDEEN, SD 57401-4553
(605) 622-2895
(605) 622-2896
Mailing address
PO BOX 1460, ABERDEEN, SD 57402-1460
(605) 622-2895
(605) 622-2896
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0277
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19881
—
ND
01
—
255951
MIDLANDS CHOICE
—
01
—
4992816
WELLMARK BCBS OF SD
SD
05
—
6826952
—
SD
01
—
9237753
DAKOTACARE
SD
Enumeration date
06/03/2006
Last updated
03/31/2014
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