| NPI | 1598219495 |
|---|---|
| Former Name | CARRIE E LOGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.019788) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH RN414025) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2017-04-18 |