MEDICARE: AMY L. LOGAN PMHNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	RN206718	AZ

General Provider Information

NPI Number	:	1902770654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY L. LOGAN PMHNP

Provider Business Mailing Address
First Line	:	11860 N DEERCLOVER LN
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85737-8669
Country	:	US
Telephone Number	:	520-444-3048
Fax Number	:

Provider Business Practice Location Address
First Line	:	3130 E BROADWAY BLVD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85716-5863
Country	:	US
Telephone Number	:	520-333-4947
Fax Number	:

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

Provider Enumeration Date	:	10/03/2025
Last Update Date	:	10/03/2025

Similar Medicare Providers

1245777481 — SONORA BEHAVIORAL HEALTH HOSPITAL, LLC
Practice Location Address:

3130 E BROADWAY BLVD STE 196
TUCSON, AZ
85716-5863

Practice Phone: 520-399-8688
Practice Fax:

1245534114 — LETTY FIELDS LPC
Practice Location Address:

3130 E BROADWAY BLVD
TUCSON, AZ
85716-5863

Practice Phone: 520-318-9222
Practice Fax:

1801207642 — CODAC HEALTH, RECOVERY & WELLNESS, INC.
Practice Location Address:

3130 E BROADWAY BLVD
TUCSON, AZ
85716-5863

Practice Phone: 520-327-4505
Practice Fax: 520-202-1889

1598257537 — MR. JAY EDWIN SEPPANEN LPC
Practice Location Address:

3130 E BROADWAY BLVD
TUCSON, AZ
85716-5863

Practice Phone: 520-327-4505
Practice Fax:

1447255120 — DR. JOHN WILLIAM DAY DMD, MS
Practice Location Address:

720 N COUNTRY CLUB RD
TUCSON, AZ
85716-4506

Practice Phone: 520-326-6658
Practice Fax:

1144031923 — KRISTIE CAY LANDON FNP-C
Practice Location Address:

3832 E SPEEDWAY BLVD
TUCSON, AZ
85716-4039

Practice Phone: 866-389-2727
Practice Fax:

Directions to “ AMY L. LOGAN PMHNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.