Individual
SUSAN M HOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P
Contact information
Practice address
110 S LOGAN AVE STE A, GREGORY, SD 57533-1614
(605) 835-9611
(605) 835-8033
Mailing address
110 S LOGAN AVE STE A, GREGORY, SD 57533-1614
(605) 835-9611
(605) 835-8033
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CP000259
SD
363LF0000X
Family Nurse Practitioner
110371
NE
363LF0000X
Family Nurse Practitioner
Primary
CP000259
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6826970
—
SD
Enumeration date
04/25/2006
Last updated
11/15/2024
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