Individual
MS. ANN HOAGLAND DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA ARNP
Contact information
Practice address
1489 TUCKER RD, GREENSBURG, KY 42743-9284
(270) 734-5585
(270) 932-4157
Mailing address
PO BOX 162, 1489 TUCKER RD., GREENSBURG, KY 42743-0162
(270) 734-5585
(270) 932-4157
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1035636
KY
163W00000X
Registered Nurse
194268
OH
367500000X
Certified Registered Nurse Anesthetist
04296
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
662A
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74662008
—
KY
Enumeration date
11/20/2006
Last updated
09/04/2014
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