Provider Demographics
NPI:1851683080
Name:HOGAN, KARA WOCHELE (RN, PNP-AC)
Entity Type:Individual
Prefix:MRS
First Name:KARA
Middle Name:WOCHELE
Last Name:HOGAN
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Gender:F
Credentials:RN, PNP-AC
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Mailing Address - Street 1:101 W PONCE DE LEON AVE # 242
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-2528
Mailing Address - Country:US
Mailing Address - Phone:404-778-7622
Mailing Address - Fax:404-778-7645
Practice Address - Street 1:101 W PONCE DE LEON AVE # 242
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-2528
Practice Address - Country:US
Practice Address - Phone:404-778-7622
Practice Address - Fax:404-778-7645
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-05
Last Update Date:2012-04-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN200557363LP0222X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0222XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics, Critical Care