Individual
MRS. LOGAN RENAE MAHLANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
700 MEDICAL CENTER DR STE 210, NEWTON, KS 67114-9017
(316) 283-2800
(316) 283-3575
Mailing address
700 MEDICAL CENTER DR STE 210, NEWTON, KS 67114-4446
(316) 283-2800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
53-79018-072
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201290060A
—
KS
01
—
F09191416
AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION
—
Enumeration date
10/18/2019
Last updated
08/13/2024
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