Logan, Laura T

Logan, Laura T is an individual health care provider with primary practice located at 400 Colonnade Dr Ste 160 , Ponte Vedra FL 32081-6236. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Logan, Laura T can be contacted via phone (904) 824-1020.

Contact Information

Primary practice address
400 Colonnade Dr Ste 160 Ponte Vedra FL 32081-6236
Phone: (904) 824-1020
Fax: (904) 390-7503
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9162621 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9162621 Florida

Profile Details

NPI number 1497098586
LBN Legal business name Logan, Laura T
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2013
Last updated Jan 30th, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497098586 NPPES
Florida MEDICAID 018814600
Florida MEDICAID 018008600

Popular Providers