Individual
BRENDA SUE HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-0562
Mailing address
7638 E SIERRA MORENA ST, MESA, AZ 85207-1872
(480) 472-9907
(480) 472-9999
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
106489
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
579948
—
AZ
Enumeration date
01/24/2007
Last updated
07/09/2007
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