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Individual

PAULA JEAN HOGSTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
432 - 16TH STREET, SUITE B- TRI STATE NEPHROLOGY, ASHLAND, KY 41101
(606) 329-9335
(606) 324-6383
Mailing address
PO BOX 2468, 432 - 16TH STREET SUITE B, ASHLAND, KY 41101
(606) 329-9335
(606) 324-6383

Taxonomy

Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
1906S
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1906S
KENTUCKY ARNP LICENSE ID NUMBER
KY
05
3028011
OH
05
7100112090
KY
Enumeration date
12/31/2009
Last updated
10/07/2010
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