person
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. You can also correspond with Elizabeth Logan through the mailing address at 3300 S FISKE BLVD, ROCKLEDGE, FL - 32955-4306 (mailing address contact number: 321-361-5599).

Location: 1130 Hickory St Ste B, Melbourne, FL, 32955-4306
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
tick
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
State
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
State
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
License No.
ARNP9232775 (Florida)
Definition
Definition to come...
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