MS. REBECCA M. LOGUE ANP NPI 1962553347

NPI Information

  • NPI: 1962553347
  • Provider Name: MS. REBECCA M. LOGUE, ANP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 14973 W BELL RD
    SURPRISE, AZ
    ZIP 85374
  • Phone: (623) 934-5600

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NPI Details

MS. Rebecca M. Logue, ANP is an adult health nurse practitioner in Surprise, AZ. MS. Rebecca M. Logue, ANP NPI is 1962553347. 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:

14973 W BELL RD
SURPRISE, AZ
ZIP 85374-236
Phone: (623) 934-5600
Fax: (623) 934-5603

The NPI 1962553347 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/14/2007 and was last updated on 3/1/2013.

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
1363LA2200XNurse PractitionerAdult HealthAP1554ARIZONAYes

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 Other Provider Identifier Issuer
1P83534MEDICARE UPINARIZONA
2746547MEDICAIDARIZONA
3101335MEDICARE ID-TYPE UNSPECIFIEDARIZONA

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: 3/30/2025

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