IndividualActive
Amanda Logan, LPN
NPI 1740142215 · Licensed Vocational Nurse · Brentwood, NY
Provider details
- NPI number
- 1740142215
- Entity type
- Individual
- Primary specialty
- Licensed Vocational NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 355090-01 (NY)
Specialties & taxonomies
Nursing Service Providers
Practice location
400 Crooked Hill Rd
Brentwood, NY 11717-1039
Phone: (631) 231-3232
Approximate (ZIP-level) locationGet directions
Mailing address
80 Manor Dr
Shirley, NY 11967-4306
Registry dates
- Enumerated
- 2025-12-02
- Last updated
- 2025-12-02
- Certified
- 2025-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.