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Individual
MRS. AMY MARIE LOGAN
Active
Individual
MRS. AMY MARIE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
9265112
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9265112
ARNP LICENSE NUMBER
FL
Enumeration date
08/06/2015
Last updated
08/06/2015
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