Provider Demographics
NPI:1518318336
Name:HOGLE, KARRIE (LPN)
Entity Type:Individual
Prefix:
First Name:KARRIE
Middle Name:
Last Name:HOGLE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 N MAIN ST APT 7
Mailing Address - Street 2:
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424-1039
Mailing Address - Country:US
Mailing Address - Phone:585-414-8456
Mailing Address - Fax:
Practice Address - Street 1:427 N MAIN ST APT 7
Practice Address - Street 2:
Practice Address - City:CANANDAIGUA
Practice Address - State:NY
Practice Address - Zip Code:14424-1039
Practice Address - Country:US
Practice Address - Phone:585-414-8456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-22
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10323634164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse