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Mrs. Shawna Marissa Logan, APRN
Family Nurse Practitioner in Woodward, Oklahoma
NPI 1063749018

Shawna Marissa Logan is a Family Nurse Practitioner based in Woodward, OK and is specialized in Family. Shawna Marissa Logan practices in Woodward, OK and has the professional credentials of APRN. The NPI Number for Shawna Marissa Logan is 1063749018 and holds a License No. R0074435 (Oklahoma).

The current practice location address for Shawna Marissa Logan is 1101 Hillcrest Dr, Woodward, OK and can be reached out via phone at 580-256-3608.

Location: 1101 Hillcrest Dr, Woodward, OK, 73801-3027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063749018
Provider Name
Shawna Marissa Logan
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
1101 Hillcrest Dr, Woodward, OK, 73801-3027
Phone Number
580-256-3608
Fax Number
Provider Enumeration Date
11/12/2009
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200264990A 05 OK
institution
Provider Business Practice Location Address Details
Address
1101 Hillcrest Dr
City
Woodward
State
Oklahoma
Zip
73801-3027
Phone Number
580-256-3608
Fax Number
person
Provider Business Mailing Address Details
Address
1101 Hillcrest Dr
City
Woodward
State
Oklahoma
Zip
73801-3027
Phone Number
580-256-3608
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R0074435 (Oklahoma)
Definition
Definition to come...
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