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Amanda Logan, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Florissant, Missouri
NPI 1710765540

Amanda Logan is a Psychiatric/Mental Health Nurse Practitioner based in Saint Louis, MO and is specialized in Psychiatric/Mental Health. Amanda Logan practices in Florissant, MO and has the professional credentials of PMHNP. The NPI Number for Amanda Logan is 1710765540 and holds a License No. 2023022156 (Missouri).

The current practice location address for Amanda Logan is 1150 Graham Rd Ste 101&102, Florissant, MO and can be reached out via phone at 314-206-3900.

Location: 1150 Graham Rd Ste 101&102, Florissant, MO, 63139-1101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710765540
Provider Name
Amanda Logan
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
1150 Graham Rd Ste 101&102, Florissant, MO, 63139-1101
Phone Number
314-206-3900
Fax Number
Provider Enumeration Date
09/21/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1150 Graham Rd Ste 101&102
City
Florissant
State
Missouri
Zip
63031-8077
Phone Number
314-206-3900
Fax Number
person
Provider Business Mailing Address Details
Address
1150 Graham Rd Ste 101&102
City
Florissant
State
Missouri
Zip
63031-8077
Phone Number
314-206-3900
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.
2023022156 (Missouri)
Definition
Definition to come...
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