Provider Demographics
NPI:1194016634
Name:LOGUIDICE, LOUISE A (RN)
Entity Type:Individual
Prefix:
First Name:LOUISE
Middle Name:A
Last Name:LOGUIDICE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 BRIAR AVE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-2635
Mailing Address - Country:US
Mailing Address - Phone:603-898-2023
Mailing Address - Fax:
Practice Address - Street 1:8 BRIAR AVE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-2635
Practice Address - Country:US
Practice Address - Phone:603-898-2023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-02
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2267944163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse