SHERYL E LOGAN NP NPI 1417145939

NPI Information

NPI: 1417145939
Provider Name: SHERYL E LOGAN, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1001 BLYTHE BLVD
SUITE 300-ADULT CARDIOLOGY
CHARLOTTE, NC
ZIP 28203
Phone: (704) 373-0212
Get Directions

Sheryl E Logan, NP is a family nurse practitioner in Charlotte, NC. Sheryl E Logan, NP NPI is 1417145939. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1001 BLYTHE BLVD
SUITE 300-ADULT CARDIOLOGY
CHARLOTTE, NC
ZIP 28203-866
Phone: (704) 373-0212
Fax: (704) 373-1216

The enumeration date for this NPI number is 10/10/2007 and was last updated on 3/17/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	RN093611	GEORGIA	No
2	363LF0000X	Nurse Practitioner	Family	5005997	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	7006531	MEDICAID	NORTH CAROLINA
2	NCB362A	MEDICARE PIN	NORTH CAROLINA
3	695626868A(MARIETTA)	MEDICAID	GEORGIA
4	695626868B(WOODSTOCK	MEDICAID	GEORGIA
5	NP2228	MEDICAID	SOUTH CAROLINA
6	1417145939	MEDICAID	NORTH CAROLINA
7	695626868D-DOUGLAS	MEDICAID	GEORGIA
8	695626868E(AUSTELL)	MEDICAID	GEORGIA
9	695626868C(HIRAM)	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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