Individual
MRS. HOLLY MAUREEN LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
600 W SHERIDAN AVE, SHENANDOAH, IA 51601-1708
(712) 246-0159
(712) 581-9084
Mailing address
409 E NISHNA RD, SHENANDOAH, IA 51601-2541
(712) 313-0053
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G179028
IA
Other
Enumeration date
04/23/2024
Last updated
07/24/2024
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