Individual
LOGAN WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 MEDICAL PKWY STE 304, ANNAPOLIS, MD 21401-3745
(410) 573-9530
(667) 204-7229
Mailing address
3 ADMIRAL RD, SEVERNA PARK, MD 21146-3701
(443) 758-4743
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
R246267
MD
Other
Enumeration date
03/10/2023
Last updated
12/26/2024
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