Individual provider · Type 1 NPI

Kelly M. Logli, APN

Nurse Practitioner · Rockford, IL

NPI number 1730404419 Active

Practice location

1253 N Alpine Rd
Rockford, IL 61107

Mailing address

PO Box 78866
Milwaukee, WI 53278-8866

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X209008105 (IL)
Nurse Practitioner Primary 363L00000X209-008105 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1730404419

Kelly M. Logli, APN's National Provider Identifier is 1730404419, issued on Apr 6, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rockford, IL. The record was last updated on Feb 19, 2021.