Individual
MRS. JANIS LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, CNM
Contact information
Practice address
6701 N CHARLES ST, DEPT OF OBGYN, BALTIMORE, MD 21204-6808
(443) 840-2577
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-2704
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
R070172
MD
367A00000X
Advanced Practice Midwife
R070172
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
409127200
—
MD
01
—
KJ43-64798501
CAREFIRST OF MD GBMC
MD
01
—
S1400030
CAREFIRST REGIONAL GBMC
MD
Enumeration date
06/12/2006
Last updated
06/06/2025
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