person
Mrs. Shawntel Logan, NP
Family Nurse Practitioner in Victorville, California
NPI 1013513522

Shawntel Logan is a Family Nurse Practitioner based in Victorville, CA and is specialized in Family. Shawntel Logan practices in Victorville, CA and has the professional credentials of NP. The NPI Number for Shawntel Logan is 1013513522 and holds a License No. 95016075 (California).

The current practice location address for Shawntel Logan is 12760 Hesperia Rd Ste C, Victorville, CA and can be reached out via phone at 760-338-0911.

Location: 12760 Hesperia Rd Ste C, Victorville, CA, 92395-8305
person
Provider Profile Details
NPI Number
1013513522
Provider Name
Shawntel Logan
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
12760 Hesperia Rd Ste C, Victorville, CA, 92395-8305
Phone Number
760-338-0911
Fax Number
Provider Enumeration Date
12/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12760 Hesperia Rd Ste C
City
State
Zip
92395-8305
Phone Number
760-338-0911
Fax Number
person
Provider Business Mailing Address Details
Address
12760 Hesperia Rd Ste C
City
State
Zip
92395-8305
Phone Number
760-338-0911
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
95016075 (California)
Definition
Definition to come...
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