Mrs Mary Elizabeth Logan, CRNP | |
5 N 3rd St, Reynoldsville, PA 15851-0907 | |
(814) 653-8222 | |
(814) 653-9305 |
Full Name | Mrs Mary Elizabeth Logan |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 5 N 3rd St, Reynoldsville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962917245 | NPI | - | NPPES |
SP018275 | Other | PA | CRNP LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP018275 (Pennsylvania) | Primary |
Entity Name | Dubois Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245410554 PECOS PAC ID: 5890689715 Enrollment ID: O20040426000432 |
Entity Name | Dubois Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487937199 PECOS PAC ID: 5890689715 Enrollment ID: O20111107000034 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mary Elizabeth Logan, CRNP 100 Hospital Ave, Du Bois, PA 15801-1440 Ph: (814) 375-6549 | Mrs Mary Elizabeth Logan, CRNP 5 N 3rd St, Reynoldsville, PA 15851-0907 Ph: (814) 653-8222 |
Amanda Lace Irwin, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6514 Sulgar Rd, Reynoldsville, PA 15851 Phone: 814-591-5046 | |
Sharon Gilmore, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5 N 3rd St, Reynoldsville, PA 15851 Phone: 814-653-8222 Fax: 814-653-9305 |