Provider Demographics
NPI:1275542763
Name:HOGAN, CATHARINE (NP)
Entity Type:Individual
Prefix:
First Name:CATHARINE
Middle Name:
Last Name:HOGAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 KULP RD E
Mailing Address - Street 2:
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-3729
Mailing Address - Country:US
Mailing Address - Phone:215-343-7193
Mailing Address - Fax:
Practice Address - Street 1:900 CONSHOHOCKEN RD
Practice Address - Street 2:
Practice Address - City:CONSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428-1038
Practice Address - Country:US
Practice Address - Phone:610-238-7600
Practice Address - Fax:610-238-5739
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN09138100163WW0000X, 363LG0600X
PATP003096-H363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163WW0000XNursing Service ProvidersRegistered NurseWound Care
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology