| NPI | 1801471362 | 
|---|---|
| Former Name | LOGAN RAEANNA SEARS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71014428A) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28244163A) | 
| Enumeration Date | 2021-03-16 | 
| Last Update Date | 2023-10-24 |