Individual provider · Type 1 NPI
Laura Ashley Logan, MSN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Chicago, IL
NPI number
1508337056
Active
Practice location
446 E Ontario St
Chicago, IL 60611-4418
Mailing address
680 N Lake Shore Dr Ste 1000
Chicago, IL 60611-8709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 041.473303 (IL) |
| Registered Nurse | 163W00000X | 225340 (TN) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209.018539 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1508337056
Laura Ashley Logan, MSN, PMHNP-BC's National Provider Identifier is 1508337056, issued on Dec 10, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Chicago, IL. The record was last updated on Feb 13, 2020.