MEDICARE: MRS. PATRICIA ARREL LOGAN MSN, ACNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	0000012574	TN

General Provider Information

NPI Number	:	1518151067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PATRICIA ARREL LOGAN MSN, ACNP-BC

Provider Business Mailing Address
First Line	:	MCN A1204 1161 21ST AVE S
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-2102
Country	:	US
Telephone Number	:	615-689-8158
Fax Number	:

Provider Business Practice Location Address
First Line	:	MCN A1204 1161 21ST AVE S
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-2102
Country	:	US
Telephone Number	:	615-689-8158
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2007
Last Update Date	:	10/21/2020

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