Individual
MRS. COLEEN LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
111 W FORREST AVE STE C, EUFAULA, OK 74432-3205
(918) 490-7011
(918) 490-7015
Mailing address
1010 KINKEAD RD, MCALESTER, OK 74501-7704
(580) 235-7735
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
210867
OK
Other
Enumeration date
11/17/2022
Last updated
04/23/2024
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