Individual
EMILY B HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10571 TELEGRAPH RD, SUITE 210, GLEN ALLEN, VA 23059-4652
(804) 266-7611
(804) 262-9249
Mailing address
10571 TELEGRAPH RD, SUITE 210, GLEN ALLEN, VA 23059-4652
(804) 266-7611
(804) 262-9249
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024169988
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C05698
GROUP PTAN
VA
01
—
C06734
GROUP PTAN
VA
Enumeration date
05/29/2012
Last updated
05/29/2012
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