Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Stacie Marie Hogan, BSN, IBCLC

Individual provider Lactation Consultant (Registered Nurse) · NPI 1003514696

Mrs. Stacie Marie Hogan, BSN, IBCLC is a Lactation Consultant (Registered Nurse) in Roanoke, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2023
Specialties on file
2
What do these letters mean?
BSN — Bachelor of Science in Nursing
A four-year nursing degree.

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Practice location Address checks out

3142 Brambleton Ave
Roanoke, VA 24018-3727
Phone: (540) 200-8662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Lactation Consultant (Registered Nurse) (primary) Taxonomy 163WL0100X · Licence L-309398 (VA)
Lactation Consultant (Registered Nurse) Taxonomy 163WL0100X · Licence L-309498 (VA)

Record details

NPI number1003514696
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSN , IBCLC
Sole proprietorYes
NPI enumeratedFebruary 22, 2023
Last updated in NPPESFebruary 22, 2023
Certification dateFebruary 22, 2023

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