Individual
MISS LOGAN TAYLOR MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1200 E MARSHALL ST, RICHMOND, VA 23298-5023
(757) 243-3348
Mailing address
11761 PINE NEEDLES DR, PROVIDENCE FORGE, VA 23140-3482
(757) 243-3348
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024180343
VA
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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