Brandon Michael Hogan
Nurse Practitioner, Family in Madison, WI. Individual provider (NPI-1).
NPI number1699487512
StatusActive
Last updated in NPPESDec 7, 2023
Details
- NPI
- 1699487512
- Entity type
- Individual (NPI-1)
- Name
- Brandon Michael Hogan
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 22, 2022
- Certification date
- Dec 7, 2023
- Last updated
- Dec 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 14646-33 | WI | Yes |
| 163WU0100X | Registered Nurse, Urology | 242459-30 | WI |
Practice location
2500 Overlook TerMadison, WI 53705-2254
Phone 608-280-7002
Mailing address
7100 Coon Rock RdArena, WI 53503-9306
Phone 608-588-5859
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