Individual provider · Type 1 NPI
Susan Newell Logan, FNP-BC
Family Nurse Practitioner · Mobile, AL
NPI number
1083199962
Active
Practice location
Coastal Nurse Practitioner Services, 4358 Old Shell Road, Ste B234
Mobile, AL 36608
Mailing address
411 Hounds Run E
Mobile, AL 36608-5404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-081654 (AL) |
| Family Nurse Practitioner Primary | 363LF0000X | 9370450 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1083199962
Susan Newell Logan, FNP-BC's National Provider Identifier is 1083199962, issued on Sep 26, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mobile, AL. The record was last updated on Jun 25, 2024.