Individual provider · Type 1 NPI
Shawntel Logan, NP
Family Nurse Practitioner · Victorville, CA
NPI number
1013513522
Active
Practice location
12760 Hesperia Rd Ste C
Victorville, CA 92395-8305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95016075 (CA) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1013513522
Shawntel Logan, NP's National Provider Identifier is 1013513522, issued on Dec 9, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Victorville, CA. The record was last updated on Jul 24, 2023.