NPI 1053712703
Amanda Logan, LPN
Practice location
- Address
- 2121 North Ave, Grand Junction, CO 81501-6428
- Phone
- (970) 263-5077
- Mailing address
- 340 Belford Ave, Grand Junction, CO 81501-2428
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1053712703
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Sep 2014
- Record last updated
- 12 Sep 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.