AMANDA LOGAN

FLORISSANT, MO
NPI1710765540
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MO  2023022156)
Enumeration Date2023-09-21
Last Update Date2024-02-13
Business Address
AMANDA LOGAN PMHNP
1150 GRAHAM RD STE 101&102
FLORISSANT, MO 63031-8077
Phone number: 314-206-3900
Mailing Address
AMANDA LOGAN PMHNP
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 63139-1101
Phone number: 314-206-3700
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