Individual provider · Type 1 NPI
Nicole Logue, NP
Adult Health Nurse Practitioner · Woodbury, CT
NPI number
1881094936
Active
Practice location
42 Artillery Rd
Woodbury, CT 06798-2308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 5880 (CT) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 5880 (CT) |
Adult Health Nurse Practitioner: Definition to come...
Other adult health nurse practitioner providers in Woodbury
About NPI 1881094936
Nicole Logue, NP's National Provider Identifier is 1881094936, issued on Aug 26, 2014. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Woodbury, CT. The record was last updated on Jan 24, 2020.