Individual provider · Type 1 NPI
Mark Alan Logan, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Flagstaff, AZ
NPI number
1780107433
Active
Practice location
3596 W Altair Way
Flagstaff, AZ 86001-2075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 316036 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1780107433
Mark Alan Logan, PMHNP-BC's National Provider Identifier is 1780107433, issued on Jul 24, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Flagstaff, AZ. The record was last updated on Oct 8, 2026.