| Doctor Name: | MS. WANDA MARIE HOGGARD |
| NPI Number: | 1326185919 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | 0024166438 |
| Business Practice Address: | 1050 W. Perimeter Rd Suite B5-19 779 Mdg Andrews Afb, MD - 207636600 |
| Business Phone Number: | 7575379679 |
| Business Fax Number: | |
| Mailing Address: | 6315 Orchard Cove Ct, SUFFOLK |
| State: | VA |
| Postal Code: | 23435 |
| Phone Number: | 7575379679 |
| Fax Number: | |
| NPI Enumeration Date: | 01/31/2007 |
| NPI Last Update Date: | 05/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0024166438 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |