Individual
ALISA LOGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
401 W PENNSYLVANIA AVE, ANACONDA, MT 59711-1931
(406) 563-8540
Mailing address
401 W PENNSYLVANIA AVE, ANACONDA, MT 59711-1999
(406) 563-8540
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
NUR-RN-LIC-74954
MT
363LF0000X
Family Nurse Practitioner
Primary
NUR-APRN-LIC-143844
MT
Other
Enumeration date
09/21/2018
Last updated
11/22/2021
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