NICHOLAS HOGAN

JONESBORO, AR
NPI1427611227
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AR  120419)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: MO  2024049483)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-17
Last Update Date2025-01-20
Business Address
NICHOLAS HOGAN
1515 FLINT ST
JONESBORO, AR 72401-4911
Phone number: 979-583-7148
Mailing Address
NICHOLAS HOGAN
1515 FLINT ST
JONESBORO, AR 72401-4911
Phone number: 979-583-7148