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Tracy L Hogan, RN
Home Health Registered Nurse in Omro, Wisconsin
NPI 1194997858

Tracy L Hogan is a Home Health Registered Nurse based in Omro, WI and is specialized in Home Health. Tracy L Hogan practices in Omro, WI and has the professional credentials of RN. The NPI Number for Tracy L Hogan is 1194997858 and holds a License No. (Wisconsin).

The current practice location address for Tracy L Hogan is 9212 Stone School Rd, Omro, WI and can be reached out via phone at 920-685-2193.

Location: 9212 Stone School Rd, Omro, WI, 54963-9766
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194997858
Provider Name
Tracy L Hogan
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
9212 Stone School Rd, Omro, WI, 54963-9766
Phone Number
920-685-2193
Fax Number
Provider Enumeration Date
04/01/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
39889400 05 WI
institution
Provider Business Practice Location Address Details
Address
9212 Stone School Rd
City
Omro
State
Wisconsin
Zip
54963-9766
Phone Number
920-685-2193
Fax Number
person
Provider Business Mailing Address Details
Address
9212 Stone School Rd
City
Omro
State
Wisconsin
Zip
54963-9766
Phone Number
920-685-2193
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Home Health
Taxonomy
163WH0200X
License No.
(Wisconsin)
Definition
Definition to come...
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