Individual
SUSAN NEWELL LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
COASTAL NURSE PRACTITIONER SERVICES, 4358 OLD SHELL ROAD, STE B234, MOBILE, AL 36608
(251) 868-0012
Mailing address
411 HOUNDS RUN E, MOBILE, AL 36608-5404
(251) 490-7817
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1-081654
AL
363LF0000X
Family Nurse Practitioner
Primary
9370450
FL
Other
Enumeration date
09/26/2018
Last updated
06/25/2024
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