Provider Demographics
NPI:1902061906
Name:LOGEE, KATHERINE (FNP-BC, CPNP)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:LOGEE
Suffix:
Gender:
Credentials:FNP-BC, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2139 SW 12TH PL
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33991-3696
Mailing Address - Country:US
Mailing Address - Phone:916-420-3750
Mailing Address - Fax:
Practice Address - Street 1:4602 E UNIVERSITY DR STE 150
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85034-7423
Practice Address - Country:US
Practice Address - Phone:916-742-1944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-19
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11008485363LF0000X
CA18533363LP0200X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics