Individual provider · Type 1 NPI
Shannon Hogan, APRN
Pediatric Nurse Practitioner · Louisville, KY
NPI number
1598090177
Active
Practice location
231 E Chestnut St
Louisville, KY 40202-1821
Fax (502) 629-8827
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 1101105 (KY) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 3006225 (KY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1598090177
Shannon Hogan, APRN's National Provider Identifier is 1598090177, issued on Oct 15, 2009. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Louisville, KY. The record was last updated on Dec 21, 2016.