Individual provider · Type 1 NPI

Shannon Hogan, MA

Student in an Organized Health Care Education/Training Program · Crescent City, CA

NPI number 1821785221 Active

Practice location

5905 Lake Earl Dr
Crescent City, CA 95532-0002

Call (707) 465-1000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1821785221

Shannon Hogan, MA's National Provider Identifier is 1821785221, issued on Apr 18, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Crescent City, CA. The record was last updated on Aug 3, 2026.