| NPI | 1285248898 |
|---|---|
| Other Name | STEPHANIE N LOGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NV 838762) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 27726) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2024-05-23 |