Provider Demographics
NPI:1730275116
Name:LOGUE, BARBARA F (BSN, FNP)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:F
Last Name:LOGUE
Suffix:
Gender:F
Credentials:BSN, FNP
Other - Prefix:MS
Other - First Name:BARBARA
Other - Middle Name:F
Other - Last Name:WOODCOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, FNP
Mailing Address - Street 1:PO BOX 575
Mailing Address - Street 2:
Mailing Address - City:SOUTHWEST HARBOR
Mailing Address - State:ME
Mailing Address - Zip Code:04679-0575
Mailing Address - Country:US
Mailing Address - Phone:207-288-5082
Mailing Address - Fax:207-288-7024
Practice Address - Street 1:10 WAYMAN LN
Practice Address - Street 2:
Practice Address - City:BAR HARBOR
Practice Address - State:ME
Practice Address - Zip Code:04609-1625
Practice Address - Country:US
Practice Address - Phone:207-288-5082
Practice Address - Fax:207-288-7024
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER029750363LC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MER029750OtherMAINE LICENSE
MENP484801Medicare PIN