Provider Demographics
NPI:1851899041
Name:HOGAN, WHITNEY D (NP)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:D
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 1:15580 3RD AVE SW
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166-4565
Mailing Address - Country:US
Mailing Address - Phone:206-453-4215
Mailing Address - Fax:
Practice Address - Street 1:15580 3RD AVE SW
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-4565
Practice Address - Country:US
Practice Address - Phone:206-453-4215
Practice Address - Fax:206-453-4215
Is Sole Proprietor?:No
Enumeration Date:2018-01-23
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60291285163W00000X
WAAP60828819363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse