Provider Demographics
NPI:1831157635
Name:HOGGARD, GERI LINDBERG (CPNP)
Entity type:Individual
Prefix:
First Name:GERI
Middle Name:LINDBERG
Last Name:HOGGARD
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17800 SANDCASTLE CT
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-2841
Mailing Address - Country:US
Mailing Address - Phone:301-570-1252
Mailing Address - Fax:
Practice Address - Street 1:2401 BLUERIDGE AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:WHEATON
Practice Address - State:MD
Practice Address - Zip Code:20902-4517
Practice Address - Country:US
Practice Address - Phone:301-933-6440
Practice Address - Fax:301-933-5923
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR123614363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics