Individual
SHANDELLYN LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
995 9TH AVE SW, BESSEMER, AL 35022-4527
(205) 481-7000
Mailing address
1210 GARDEN WOODS DR, HOOVER, AL 35244-1846
(601) 310-9282
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
1-100193
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
1-100193
AL
Other
Enumeration date
02/09/2009
Last updated
09/14/2016
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