Provider Demographics
NPI:1851112783
Name:LOGGANS, WENNIFER MARIE
Entity type:Individual
Prefix:
First Name:WENNIFER
Middle Name:MARIE
Last Name:LOGGANS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:WENNIFER
Other - Middle Name:MARIE
Other - Last Name:LOGGANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:HHA
Mailing Address - Street 1:360 FERNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320-2318
Mailing Address - Country:US
Mailing Address - Phone:234-224-4027
Mailing Address - Fax:
Practice Address - Street 1:360 FERNWOOD DR
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-2318
Practice Address - Country:US
Practice Address - Phone:234-224-4027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health