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Elizabeth Logan
Family Nurse Practitioner in Melbourne, Florida
NPI 1851721302

Elizabeth Logan is a Family Nurse Practitioner based in Rockledge, FL and is specialized in Family. Elizabeth Logan practices in Melbourne, FL. The NPI Number for Elizabeth Logan is 1851721302 and holds a License No. ARNP9232775 (Florida).

The current practice location address for Elizabeth Logan is 1130 Hickory St Ste B, Melbourne, FL and can be reached out via phone at 321-361-5599 and via fax at 321-952-6179.

Location: 1130 Hickory St Ste B, Melbourne, FL, 32955-4306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851721302
Provider Name
Elizabeth Logan
Credential
Provider Entity Type
Individual
Gender
Female
Address
1130 Hickory St Ste B, Melbourne, FL, 32955-4306
Phone Number
321-361-5599
Fax Number
321-952-6179
Provider Enumeration Date
11/20/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010941200 05 FL
HU060Y 01 FL MEDICARE
institution
Provider Business Practice Location Address Details
Address
1130 Hickory St Ste B
City
Melbourne
State
Florida
Zip
32901-1973
Phone Number
321-361-5599
Fax Number
321-952-6179
person
Provider Business Mailing Address Details
Address
1130 Hickory St Ste B
City
Melbourne
State
Florida
Zip
32901-1973
Phone Number
321-361-5599
Fax Number
321-952-6179
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
ARNP9232775 (Florida)
Definition
Definition to come...
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