Individual
ADELL LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
7130 MINSTREL WAY STE 230, COLUMBIA, MD 21045-5339
(443) 804-2788
Mailing address
6745 EASTERN HILLS ST, HUGHESVILLE, MD 20637-2953
(803) 518-7491
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R185640
MD
Other
Enumeration date
09/16/2019
Last updated
10/24/2024
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