Individual
FELICIA NICOLE HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
530 S JACKSON STREET, LOUISVILLE, KY 40202
(502) 562-3000
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3016702
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300055257
—
IN
05
—
7100770440
—
KY
Enumeration date
02/01/2021
Last updated
10/14/2021
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