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Individual

ANGELA LEE LOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
390 S FRENCH BROAD AVE, ASHEVILLE, NC 28801-4364
(828) 378-0075
(828) 378-0083
Mailing address
390 S. FRENCH BROAD ST, ASHEVILLE, NC 28801-1415
(828) 378-0075
(828) 378-0083

Taxonomy

Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
180449
NC
176B00000X
Midwife
CNM0492
NC
367A00000X
Advanced Practice Midwife
Primary
180449
NC

Other

Enumeration date
07/25/2011
Last updated
09/08/2021
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