Individual
MARY ELIZABETH LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
315 HOSPITAL DR, MADISON, TN 37115-5030
(615) 868-6503
Mailing address
572 STEVENSON ST, NASHVILLE, TN 37209-1875
(901) 486-6011
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000216346
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
35545
TN
Other
Enumeration date
10/25/2021
Last updated
11/07/2024
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