| Doctor Name: | EMILY B HOGAN |
| NPI Number: | 1144580804 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 0024169988 |
| Business Practice Address: | 10571 Telegraph Rd Suite 210 Glen Allen, VA - 230594652 |
| Business Phone Number: | 8042667611 |
| Business Fax Number: | 8042629249 |
| Mailing Address: | 10571 Telegraph Rd, Suite 210 GLEN ALLEN |
| State: | VA |
| Postal Code: | 230594652 |
| Phone Number: | 8042667611 |
| Fax Number: | 8042629249 |
| NPI Enumeration Date: | 05/29/2012 |
| NPI Last Update Date: | 05/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0024169988 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |