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AYESHA NICOLE LOGAN CRNP
NPI 1134085954
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA

Active since December 26, 2025
561 FAIRTHORNE AVE, PHILADELPHIA, PA 19128(215) 487-4000 Get Directions Write a Review

NPPES record last updated: January 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 11, 2026, Dec 26, 2025 (2 updates tracked since 2025).

About Ayesha Nicole Logan Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AYESHA NICOLE LOGAN CRNP (NPI 1134085954) is an individual psychiatric/mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP032916) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1134085954
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAYESHA NICOLE LOGANCredential: CRNP
Location Address561 FAIRTHORNE AVEPhiladelphia, PA 19128-2412
Mailing Address561 Fairthorne AvePhiladelphia, PA 19128-2412 · (215) 487-4000
Phone(215) 487-4000
Sole ProprietorNo
Enumeration DateDecember 26, 2025
Last NPPES UpdateJanuary 11, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2026
✔ NPI 1134085954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in PA · SP032916
561 FAIRTHORNE AVE, Philadelphia, PA 19128
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDWARD M MOORE M.D.
Psychiatry & Neurology (Psychiatry)
561 FAIRTHORNE AVE
PHILADELPHIA, PA 19128
Philadelphia County (215) 487-4071
SCOTT DENNIS DUNZIK M.D.
Psychiatry & Neurology (Psychiatry)
561 FAIRTHORNE AVE
PHILADELPHIA, PA 19128
Philadelphia County (215) 487-4032
DR. JOSEPH YI M.D.
Psychiatry & Neurology (Psychiatry)
561 FAIRTHORNE AVE
PHILADELPHIA, PA 19128
Philadelphia County (732) 221-5700
MR. BERNARD JOHN STUETZ P.A.-C
Physician Assistant (Medical)
561 FAIRTHORNE AVE
PHILADELPHIA, PA 19128
Philadelphia County (215) 487-4000
CHRISTINE SLOAN CRNP
Nurse Practitioner (Family)
561 FAIRTHORNE AVE
PHILADELPHIA, PA 19128
Philadelphia County (215) 487-4000
THAMBIPILLAI SURESHKUMAR M.D.
Psychiatry & Neurology (Psychiatry)
561 FAIRTHORNE AVE
PHILADELPHIA, PA 19128
Philadelphia County (215) 487-4147
TRICIA M. ANGILLETTA PSYD, LPC, ATR-BC
Psychologist (Clinical)
561 FAIRTHORNE AVE
PHILADELPHIA, PA 19128
Philadelphia County (215) 487-4196
NADIA ZANDY CRNP
Nurse Practitioner (Psychiatric/Mental Health)
561 FAIRTHORNE AVE
PHILADELPHIA, PA 19128
Philadelphia County (215) 487-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ayesha Logan's NPI number?

The NPI number for Ayesha Logan is 1134085954. It was assigned to this individual provider in the NPPES registry on December 26, 2025.

Where is Ayesha Logan located?

Ayesha Logan practices at 561 Fairthorne Ave, Philadelphia, PA 19128. The listed phone number is (215) 487-4000.

What is Ayesha Logan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Ayesha Logan was last updated on January 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.