Individual
LESLIE HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
8375 HIGHWAY 72 W, MADISON, AL 35758-9573
(256) 265-5051
Mailing address
28555 MITCHELL LOOP, ARDMORE, AL 35739-7645
(256) 777-4585
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-113681
AL
363L00000X
Nurse Practitioner
193257
MT
Other
Enumeration date
04/01/2014
Last updated
10/03/2024
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