Organization · Type 2 NPI

Logan Primary Care

Primary Care Nurse Practitioner · Herrin, IL

NPI number 1902094352 Active

About NPI 1902094352

Logan Primary Care's National Provider Identifier is 1902094352, issued on Oct 11, 2007. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Herrin, IL. The record was last updated on Oct 11, 2007.