Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA REGINA LOGAN, RN
Active Sole ProprietorLISA REGINA LOGAN, RN is a Critical Care Nurse healthcare provider located in HOLLAND, Michigan. NPI 1124850391 is currently active in the NPPES registry. Verify at CMS.
Critical Care Nurse · HOLLAND, MI
Registration Details
- NPI Number
- 1124850391
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 16, 2024 (2.0321446321494 yrs)
- Last Updated
- Aug 16, 2024
- License
-
041522323 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5395 LAKESHORE DRHOLLAND, MI, 494241039Browse MI providers · Browse ZIP 49424
- Phone
- 6308787896
- Primary Specialty
-
Critical Care Nurse
163WC0200X
Other Critical Care Nurse Providers in HOLLAND, MI
| Name | Credential | NPI |
|---|---|---|
| MARIE LYNNE VAN TIL | — | 1548043128 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.