Individual
THERESA HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
(612) 873-2232
(612) 873-1966
Mailing address
701 PARK AVE, MINNEAPOLIS, MN 55415-1623
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
00000
MN
364SF0001X
Family Health Clinical Nurse Specialist
Primary
0000000
MN
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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