Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Logue, NP

Individual provider Nurse Practitioner · NPI 1881094936

Nicole Logue, NP is a Nurse Practitioner in Woodbury, Connecticut. Qualified in 2014, 12 years ago. Practices with Impact Health PC, a 79-clinician group. Licensed in Connecticut.

Years since qualifying
12
Licensed in
CT
In the registry since
2014
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

42 Artillery Rd
Woodbury, CT 06798-2308
Phone: (203) 228-2116
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 5880 (CT)
Nurse Practitioner Taxonomy 363L00000X · Licence 5880 (CT)

Record details

NPI number1881094936
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 26, 2014
Last updated in NPPESJanuary 24, 2020
Certification dateJanuary 24, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Impact Health Pc — 79 clinicians
Accepts Medicare assignment Not indicated

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