Individual
MS. AMANDA J LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
501 STATE ST N, WASECA, MN 56093-2811
(507) 835-1210
Mailing address
501 STATE ST N, WASECA, MN 56093-2811
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
6473
MN
363LF0000X
Family Nurse Practitioner
Primary
.
MN
Other
Enumeration date
04/06/2019
Last updated
10/09/2025
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