| Nicole Logue, NP | |
|
42 Artillery Rd, Woodbury, CT 06798-2308 | |
| (203) 228-2116 | |
| Not Available |
| Full Name | Nicole Logue |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 42 Artillery Rd, Woodbury, Connecticut |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881094936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 5880 (Connecticut) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 5880 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Impact Health Pc | 0941562664 | 79 |
| Entity Name | Impact Health PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730694316 PECOS PAC ID: 0941562664 Enrollment ID: O20180316001315 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Logue, NP 42 Artillery Rd, Woodbury, CT 06798-2308 Ph: (203) 228-2116 | Nicole Logue, NP 42 Artillery Rd, Woodbury, CT 06798-2308 Ph: (203) 228-2116 |
Faith Andrews, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18 Meadowbrook Ln, Woodbury, CT 06798 Phone: 203-228-1079 |
Saloua Mabkhouti, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40 Main St N, Woodbury, CT 06798 Phone: 203-266-0080 Fax: 203-575-5221 |
Ms. Diane Mladjen, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 56 Joshua Hill Rd, Woodbury, CT 06798 Phone: 203-240-4438 |
Dr. Jonathan Adam Ficko, DNP, FNP, EMT-T Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15 Woodside Cir, Woodbury, CT 06798 Phone: 877-422-1145 |