Kathryn Nicole Logan
Nurse Practitioner - Psychiatric/Mental Health
183 Little Doe Ln
Wetumpka
, Alabama 36093-3093
Kathryn Nicole Logan
Nurse Practitioner - Psychiatric/Mental Health
183 Little Doe Ln
Wetumpka
, Alabama 36093-3093
(334) 669-1058
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Kathryn Nicole Logan
- 183 Little Doe Ln
- Wetumpka, AL
- Zip : 36093-3093
- Phone : (334) 669-1058
Second Address
- Kathryn Nicole Logan
- 183 Little Doe Ln
- Wetumpka, AL
- Zip : 36093-3093
- Phone : (334) 669-1058
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 1-134637 | AL |
National Provider Identifier
| NPI | 1003437880 |
|---|---|
| Provider Name | Kathryn Nicole Logan |
| First Address | Wetumpka, AL 36093-3093 |
| Second Address | Wetumpka, AL 36093-3093 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/05/2020 |
| Last Update Date | 02/05/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.