Individual
TRACY L HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9212 STONE SCHOOL RD, OMRO, WI 54963-9766
(920) 685-2193
Mailing address
9212 STONE SCHOOL RD, OMRO, WI 54963-9766
(920) 685-2193
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39889400
—
WI
Enumeration date
04/01/2008
Last updated
04/01/2008
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