IndividualActive
Dustin Logue, ANP
NPI 1003146226 · Adult Health Nurse Practitioner · Baker, LA
Provider details
- NPI number
- 1003146226
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ANP
- Sex
- Male
- Sole proprietor
- No
- License
- 06078 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
12902 Plank Rd
Baker, LA 70714-4911
Phone: (225) 369-7006
Fax: (225) 774-2827
Approximate (ZIP-level) locationGet directions
Mailing address
12902 Plank Rd
Baker, LA 70714-4911
Registry dates
- Enumerated
- 2010-01-11
- Last updated
- 2024-10-10
- Certified
- 2024-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.