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Individual

ASHLEY NICOLE LOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3319 S STATE ROAD 7 STE 313, WELLINGTON, FL 33449-8147
(561) 433-4444
Mailing address
11095 159TH CT N, JUPITER, FL 33478-6719
(561) 248-8277

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11021399
FL

Other

Enumeration date
08/16/2022
Last updated
08/23/2022
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