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Individual
PAMELA D LOGAN
Active
Individual
PAMELA D LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024187478
VA
363LF0000X
Family Nurse Practitioner
CNP-03405
NM
Other
Enumeration date
10/17/2017
Last updated
07/16/2026
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