Nicole Logan
NPI #1053048827 in Napa, California
Provider Information
- NPI Number
- 1053048827
- Entity Type
- Individual
- Name
- Nicole Logan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Rehabilitation Practitioner
- Enumeration Date
- Aug 2, 2022
- Last Updated
- Jul 28, 2025
Practice Location
- Address
- 1100 LINCOLN AVE STE 108
- City
- Napa
- State
- California
- ZIP Code
- 94558-4908
- Phone
- (415) 861-0828
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
| Rehabilitation Practitioner |
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