Individual provider · Type 1 NPI

Mallory Rae Hogan, CNP

Nurse Practitioner · Sioux Falls, SD

NPI number 1487139374 Active

Practice location

4520 W 69th St
Sioux Falls, SD 57108-8148

Fax (605) 977-5377

Mailing address

8805 W 18th St
Sioux Falls, SD 57106-7596

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XCP001457 (SD)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1487139374

Mallory Rae Hogan, CNP's National Provider Identifier is 1487139374, issued on Sep 26, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Sioux Falls, SD. The record was last updated on Apr 4, 2024.