Logan, Kristin Evans

Logan, Kristin Evans is an individual health care provider with primary practice located at 1245 Elm St , Manchester NH 03101-1308. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Logan, Kristin Evans can be contacted via phone (603) 668-6629.

Contact Information

Primary practice address
1245 Elm St Manchester NH 03101-1308
Phone: (603) 668-6629
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 067122-23 New Hampshire

Profile Details

NPI number 1285073213
LBN Legal business name Logan, Kristin Evans
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2013
Last updated Feb 16th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285073213 NPPES
New Hampshire MEDICAID 3086998

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