Individual provider · Type 1 NPI

Shanita Marie Logan

Specialist · Manchester, NH

NPI number 1497440465 Active

Practice location

1555 Elm St
Manchester, NH 03101-1203

Mailing address

2 Wall St Ste 300
Manchester, NH 03101-1518

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1497440465

Shanita Marie Logan's National Provider Identifier is 1497440465, issued on Apr 6, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Manchester, NH. The record was last updated on Apr 6, 2023.