Provider Demographics
NPI:1497398267
Name:HEALTH LOGISTICS RN AND NP PLLC
Entity Type:Organization
Organization Name:HEALTH LOGISTICS RN AND NP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:TORTORETTI
Authorized Official - Suffix:
Authorized Official - Credentials:RN MS BSN
Authorized Official - Phone:855-729-2479
Mailing Address - Street 1:2805 WEHRLE DR STE 2
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7383
Mailing Address - Country:US
Mailing Address - Phone:716-204-0777
Mailing Address - Fax:716-204-0774
Practice Address - Street 1:2805 WEHRLE DR STE 2
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7383
Practice Address - Country:US
Practice Address - Phone:716-204-0777
Practice Address - Fax:716-204-0774
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH LOGISTICS RN AND NP PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-23
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY361888OtherOFFICE OF PROFESSIONAL LICENSE