Logan West, | |
250 W Pratt St, Baltimore, MD 21201-2423 | |
(667) 214-1212 | |
Not Available |
Full Name | Logan West |
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Gender | Female |
Speciality | Nurse Practitioner - Obstetrics & Gynecology |
Location | 250 W Pratt St, Baltimore, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1467153080 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | R246267 (Maryland) | Primary |
Entity Name | University Of Maryland Obstetrical And Gynecological Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144252990 PECOS PAC ID: 8820083363 Enrollment ID: O20040415000691 |
Entity Name | Luminis Health Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073580205 PECOS PAC ID: 2860447315 Enrollment ID: O20050317000146 |
Mailing Address | Practice Location Address |
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Logan West, 3 Admiral Rd, Severna Park, MD 21146-3701 Ph: (443) 758-4743 | Logan West, 250 W Pratt St, Baltimore, MD 21201-2423 Ph: (667) 214-1212 |
Ms. Lindsay Bream O'meara, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Suite S4d07, Baltimore, MD 21201 Phone: 410-328-3365 | |
Mrs. Tamara Jeanne Setola, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7001 Johnnycake Rd Ste 101, Baltimore, MD 21244 Phone: 410-719-0063 | |
Alison C Eissler, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 312 N. Martin Luther King Jr. Blvd, Suite 102, Baltimore, MD 21201 Phone: 610-716-0192 | |
Mrs. Rebecca Delaney Tsao, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 98 North Broadway, Suite 421, Baltimore, MD 21231 Phone: 410-955-6211 | |
Kamishia Latasha Thomas, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 N Caroline Street, Baltimore, MD 21264 Phone: 443-997-0270 Fax: 410-614-1168 | |
Dana Aybout, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4940 Eastern Avenue, Baltimore, MD 21264 Phone: 410-550-5568 Fax: 410-550-0470 | |
Andrew Brave, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 W Belvedere Ave, Baltimore, MD 21215 Phone: 410-601-9000 |