Individual
ALICE JOANN OGDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN-BC,ANP
Contact information
Practice address
2911 HERRING AVE, SUITE 306, WACO, TX 76708-3245
(254) 755-4582
(254) 755-4585
Mailing address
2911 HERRING AVE, SUITE 306, WACO, TX 76708-3245
(254) 755-4582
(254) 755-4585
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
225777
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225777
APRN LICENSE
TX
01
—
G0156790
DPS LICENSE
TX
Enumeration date
02/26/2008
Last updated
02/26/2008
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