Provider Demographics
NPI:1952707879
Name:LOGAN-ZEMINA, MAUREEN ELLEN (RN)
Entity type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:ELLEN
Last Name:LOGAN-ZEMINA
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 1:33 POST'N RAIL AVE.
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-1928
Mailing Address - Country:US
Mailing Address - Phone:508-523-8898
Mailing Address - Fax:
Practice Address - Street 1:33 POST'N RAIL AVE.
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-1928
Practice Address - Country:US
Practice Address - Phone:508-523-8898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-05
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN194770163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse