IndividualActive
Tracey Logan, LPN
NPI 1073870267 · Licensed Practical Nurse · Wakeman, OH
Provider details
- NPI number
- 1073870267
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- PN109065-M-IV (OH)
Specialties & taxonomies
Nursing Service Providers
Practice location
4466 Seminary St
Wakeman, OH 44889-9208
Phone: (567) 351-6317
Approximate (ZIP-level) locationGet directions
Mailing address
4466 Seminary St
Wakeman, OH 44889-9208
Registry dates
- Enumerated
- 2012-04-12
- Last updated
- 2012-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.