Logan, Amanda

Logan, Amanda is an individual health care provider with primary practice located at 1150 Graham Rd Ste 101&102 , Florissant MO 63031-8077. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Logan, Amanda can be contacted via phone (314) 206-3900.

Contact Information

Primary practice address
1150 Graham Rd Ste 101&102 Florissant MO 63031-8077
Phone: (314) 206-3900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2023022156 Missouri

Profile Details

NPI number 1710765540
LBN Legal business name Logan, Amanda
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2023
Last updated Feb 13th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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