Individual
LOGAN MARIE GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
215 CENTRAL AVE STE 100, LOUISVILLE, KY 40208-1450
(502) 588-8700
Mailing address
215 CENTRAL AVENUE, SUITE 100, LOUISVILLE, KY 40208
(502) 588-8720
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3018557
KY
363LF0000X
Family Nurse Practitioner
Primary
3018557
KY
363LP2300X
Primary Care Nurse Practitioner
3018557
KY
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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