Individual
ELLEN STAHLMAN HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC, APRN
Contact information
Practice address
48 CENTENNIAL WAY STE A, GREENVILLE, SC 29605-4662
(864) 522-8000
(864) 522-8005
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
240312
SC
363LF0000X
Family Nurse Practitioner
Primary
26641
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
10/25/2022
Last updated
02/06/2025
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