Provider Demographics
NPI:1760714968
Name:HOGELAND, ERICA DIANE (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:ERICA
Middle Name:DIANE
Last Name:HOGELAND
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:203 AVALON AVE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:MUSCLE SHOALS
Mailing Address - State:AL
Mailing Address - Zip Code:35661-2869
Mailing Address - Country:US
Mailing Address - Phone:256-383-4447
Mailing Address - Fax:256-383-9643
Practice Address - Street 1:203 AVALON AVE
Practice Address - Street 2:SUITE 130
Practice Address - City:MUSCLE SHOALS
Practice Address - State:AL
Practice Address - Zip Code:35661-2869
Practice Address - Country:US
Practice Address - Phone:256-383-4447
Practice Address - Fax:256-383-9643
Is Sole Proprietor?:No
Enumeration Date:2010-02-12
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1091816363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner