Individual
STEPHANIE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2770 S MARYLAND PKWY STE 200, LAS VEGAS, NV 89109-1554
(702) 478-9594
Mailing address
PO BOX 561564, DENVER, CO 80256-6672
(702) 478-9594
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
27726
TN
363LF0000X
Family Nurse Practitioner
Primary
838762
NV
Other
Enumeration date
09/01/2020
Last updated
05/23/2024
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