Individual
LOGAN MARIE HELGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1240 ARIES DR, LINCOLN, NE 68512-9100
(402) 420-1300
Mailing address
1245 154TH, PLEASANT DALE, NE 68423-9113
(402) 641-2189
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
113404
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113404
NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES LICENSURE UNIT
NE
Enumeration date
08/03/2021
Last updated
08/03/2021
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