Provider Demographics
NPI:1124824883
Name:LAWS, LOGAN NAKALE (RN)
Entity type:Individual
Prefix:
First Name:LOGAN
Middle Name:NAKALE
Last Name:LAWS
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:LOGAN
Other - Middle Name:NAKALE
Other - Last Name:SIMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3751 CORELLIA AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89084-5100
Mailing Address - Country:US
Mailing Address - Phone:702-480-9145
Mailing Address - Fax:
Practice Address - Street 1:3751 CORELLIA AVE
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89084-5100
Practice Address - Country:US
Practice Address - Phone:702-480-9145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV856212163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health