Logan Health Center Inc

Family Nurse Practitioner · Philadelphia, PA

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At a glance

5008 Old York Rd, Philadelphia, PA 19141-2786

NPPES record updated Nov 13, 2025. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

5008 Old York Rd
Philadelphia, PA 19141-2786

Professional details: NPI, taxonomy & registry record

NPI1194685099

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Registry details

Primary taxonomy: Family Nurse Practitioner
Taxonomy code: 363LF0000X
Enumeration date: Nov 13, 2025
Record updated: Nov 13, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Family Nurse Practitioner

363LF0000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

5008 Old York Rd
Philadelphia, PA 19141-2786

Phone: (215) 455-5403

Mailing address

58 N SYLVANIA AVE

ROCKLEDGE, PA 190464268

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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