Provider Demographics
NPI:1629307061
Name:LOGUE, APRIL CAROL (CNP)
Entity Type:Individual
Prefix:MS
First Name:APRIL
Middle Name:CAROL
Last Name:LOGUE
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:MS
Other - First Name:APRIL
Other - Middle Name:CAROL
Other - Last Name:EDWARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:320 W. 10TH AVE.
Mailing Address - Street 2:ROOM M200 STARLING-LOVING HALL
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210
Mailing Address - Country:US
Mailing Address - Phone:614-366-3733
Mailing Address - Fax:614-293-6037
Practice Address - Street 1:320 W. 10TH AVE.
Practice Address - Street 2:ROOM M200 STARLING-LOVING HALL
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210
Practice Address - Country:US
Practice Address - Phone:614-366-3733
Practice Address - Fax:614-293-6037
Is Sole Proprietor?:No
Enumeration Date:2009-12-14
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.340497-COA1163W00000X
OHCOA.11150-NP363LA2200X
OHRX.11150-EX1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse