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Ayanna Tamira Logan
Psychiatric/Mental Health Nurse Practitioner in Phoenixville, Pennsylvania
NPI 1508535154

Ayanna Tamira Logan is a Psychiatric/Mental Health Nurse Practitioner based in Phoenixville, PA and is specialized in Psychiatric/Mental Health. Ayanna Tamira Logan practices in Phoenixville, PA. The NPI Number for Ayanna Tamira Logan is 1508535154 and holds a License No. SP024193 (Pennsylvania).

The current practice location address for Ayanna Tamira Logan is 601 Gay St, Phoenixville, PA and can be reached out via phone at 610-917-2200.

Location: 601 Gay St, Phoenixville, PA, 19460-3852
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508535154
Provider Name
Ayanna Tamira Logan
Credential
Provider Entity Type
Individual
Gender
Female
Address
601 Gay St, Phoenixville, PA, 19460-3852
Phone Number
610-917-2200
Fax Number
Provider Enumeration Date
09/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
601 Gay St
City
Phoenixville
State
Pennsylvania
Zip
19460-3852
Phone Number
610-917-2200
Fax Number
person
Provider Business Mailing Address Details
Address
601 Gay St
City
Phoenixville
State
Pennsylvania
Zip
19460-3852
Phone Number
610-917-2200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
SP024193 (Pennsylvania)
Definition
Definition to come...
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