Individual
NICOLE MARIE LOGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, WHNP-BC
Contact information
Practice address
799 HIGHLAND AVE, WINSTON SALEM, NC 27101-4206
(336) 526-3500
(336) 526-3508
Mailing address
1230 W 4TH ST, WINSTON SALEM, NC 27101-3604
(336) 682-5600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5005738
NC
Other
Enumeration date
07/30/2012
Last updated
08/29/2014
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