Individual provider · Type 1 NPI

Logan Gillen

Family Nurse Practitioner · Bedford, OH

NPI number 1508539438 Active

Practice location

44 Blaine Ave
Bedford, OH 44146-2709

Mailing address

7367 Brook Ln
Chesterland, OH 44026-1207

Other practice locations

  • 27100 Chardon Rd, Richmond Heights, OH 44143-1116 · (440) 585-6500

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAPRN.CNP.0029331 (OH)

Family Nurse Practitioner: Definition to come...

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About NPI 1508539438

Logan Gillen's National Provider Identifier is 1508539438, issued on Jul 27, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bedford, OH. The record was last updated on Jul 27, 2021.