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Individual

HEATHER LOUISE LOGAN

Active
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Individual

HEATHER LOUISE LOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-138861
AL
363LP2300X
Primary Care Nurse Practitioner
Primary
1-138861
AL
363LW0102X
Women's Health Nurse Practitioner
1-138861
AL

Other

Enumeration date
01/12/2016
Last updated
02/01/2024
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