Individual
NANCY M LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
720 W HILL ST, LOUISVILLE, KY 40208-2216
(502) 636-3164
(502) 634-3731
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(500) 258-8949
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3002785
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7802785100
—
KY
Enumeration date
02/17/2006
Last updated
11/04/2014
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