STEPHENNY LOGAN

GREENWOOD, IN
NPI1922715275
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71013230A)
Enumeration Date2022-11-04
Last Update Date2023-10-11
Business Address
STEPHENNY LOGAN
1703 W STONES CROSSING RD STE 200
GREENWOOD, IN 46143-8558
Phone number: 317-859-3737
Mailing Address
STEPHENNY LOGAN
PO BOX 781076
DETROIT, MI 48278-1076
Phone number: 317-528-4800