Individual
MS. BARBARA ANN LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
30 WEST COLE ROAD, BIDDEFORD, ME 04005
(207) 282-3349
(207) 282-6099
Mailing address
ONE MEDICAL CENTER DRIVE, BIDDEFORD, ME 04005
(207) 282-3349
(207) 282-6099
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN31989
ME
363L00000X
Nurse Practitioner
Primary
CNP81151
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265670099
—
ME
Enumeration date
01/23/2007
Last updated
10/17/2012
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