Individual
GUSSIE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1127 NORTH AVE STE 1, BURLINGTON, VT 05408-2756
(802) 846-8105
(802) 846-8107
Mailing address
600 BLAIR PARK RD STE 285, WILLISTON, VT 05495-7586
(802) 288-1140
(802) 288-1144
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101.0134357
VT
Other
Enumeration date
06/13/2019
Last updated
06/30/2023
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