Provider Demographics
NPI:1932756475
Name:LOGSDON, KACEE DANIELLE (CPNP-AC)
Entity Type:Individual
Prefix:
First Name:KACEE
Middle Name:DANIELLE
Last Name:LOGSDON
Suffix:
Gender:F
Credentials:CPNP-AC
Other - Prefix:
Other - First Name:KACEE
Other - Middle Name:DANIELLE
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 110429
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80042-0429
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13123 E 16TH AVE # B100
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-7106
Practice Address - Country:US
Practice Address - Phone:720-777-3218
Practice Address - Fax:720-777-7892
Is Sole Proprietor?:No
Enumeration Date:2019-08-20
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0994959-NP363LP0200X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics