IndividualActive
Staci Logue, PA-C
NPI 1922014646 · Critical Care Medicine (Internal Medicine) Physician · Albuquerque, NM
Provider details
- NPI number
- 1922014646
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA2003-0020 (NM)
Practice location
601 Dr Martin Luther King Jr Ave Ne
Albuquerque, NM 87102-3619
Phone: (505) 727-8000
Mailing address
933 Bradbury Dr Se
Albuquerque, NM 87106-4374
Registry dates
- Enumerated
- 2006-08-01
- Last updated
- 2025-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.