Individual provider · Type 1 NPI
Marion Logan, RNP
Gerontology Nurse Practitioner · Palo Alto, CA
NPI number
1407897184
Active
Practice location
3801 Miranda Ave
Palo Alto, CA 94304-1207
Fax (650) 617-2710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 393510 (CA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1407897184
Marion Logan, RNP's National Provider Identifier is 1407897184, issued on Jun 10, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Palo Alto, CA. The record was last updated on Jul 13, 2026.