person
Mr. Rickey Logan JR., PNP
Critical Care Pediatric Nurse Practitioner in New York, New York
NPI 1417309824

Rickey Logan JR. is a Critical Care Pediatric Nurse Practitioner based in New York, NY and is specialized in Pediatrics, Critical Care. Rickey Logan JR. practices in New York, NY and has the professional credentials of PNP. The NPI Number for Rickey Logan JR. is 1417309824 and holds a License No. 382652 (New York).

The current practice location address for Rickey Logan JR. is 550 1St Ave, New York, NY and can be reached out via phone at 513-706-8109.

Location: 550 1St Ave, New York, NY, 10016-6402
person
Provider Profile Details
NPI Number
1417309824
Provider Name
Rickey Logan JR.
Credential
PNP
Provider Entity Type
Individual
Gender
Male
Address
550 1St Ave, New York, NY, 10016-6402
Phone Number
513-706-8109
Fax Number
Provider Enumeration Date
07/08/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
550 1St Ave
City
State
Zip
10016-6402
Phone Number
513-706-8109
Fax Number
person
Provider Business Mailing Address Details
Address
550 1St Ave
City
State
Zip
10016-6402
Phone Number
513-706-8109
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics, Critical Care
Taxonomy
License No.
382652 (New York)
Definition
Definition to come...
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