Organization
INNERLOGIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA ANDERSON FNP-C (OWNER)
(919) 322-9246
Entity
Organization
Contact information
Practice address
1001 NAVAHO DR STE GL150, RALEIGH, NC 27609-7318
(919) 322-9246
Mailing address
1001 NAVAHO DR STE GL150, RALEIGH, NC 27609-7318
(919) 322-9246
(919) 882-9270
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/23/2017
Last updated
11/14/2024
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