Individual
MRS. REBECCA JOYCE HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
7010 E CHAUNCEY LN, SUITE 225, PHOENIX, AZ 85054-3117
(480) 585-5200
(480) 585-5233
Mailing address
7010 E CHAUNCEY LN, SUITE 225, PHOENIX, AZ 85054-3117
(480) 585-5200
(480) 585-5233
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
18543
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
AP4317
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
671513
—
AZ
Enumeration date
09/12/2008
Last updated
04/20/2012
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