Provider Demographics
NPI:1710693064
Name:HOGELAND, GRACE ELIZABETH
Entity Type:Individual
Prefix:
First Name:GRACE
Middle Name:ELIZABETH
Last Name:HOGELAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 ORLEANS AVENUE
Mailing Address - Street 2:
Mailing Address - City:ORLEANS
Mailing Address - State:NE
Mailing Address - Zip Code:68966
Mailing Address - Country:US
Mailing Address - Phone:308-995-7582
Mailing Address - Fax:
Practice Address - Street 1:121 S ORLEANS AVE
Practice Address - Street 2:
Practice Address - City:ORLEANS
Practice Address - State:NE
Practice Address - Zip Code:68966-6657
Practice Address - Country:US
Practice Address - Phone:308-995-7582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program