Mrs Holly Maureen Logan, PMHNP-BC | |
600 W Sheridan Ave, Shenandoah, IA 51601-1708 | |
(712) 246-0159 | |
(712) 581-9084 |
Full Name | Mrs Holly Maureen Logan |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 600 W Sheridan Ave, Shenandoah, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295580041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | G179028 (Iowa) | Primary |
Entity Name | Midwest Mental Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144695040 PECOS PAC ID: 5991075699 Enrollment ID: O20170727001947 |
Entity Name | Family Connections Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740357300 PECOS PAC ID: 9234550419 Enrollment ID: O20200526000183 |
Mailing Address | Practice Location Address |
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Mrs Holly Maureen Logan, PMHNP-BC 409 E Nishna Rd, Shenandoah, IA 51601-2541 Ph: (712) 313-0053 | Mrs Holly Maureen Logan, PMHNP-BC 600 W Sheridan Ave, Shenandoah, IA 51601-1708 Ph: (712) 246-0159 |
Amanda Nicole Smith, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 Pershing Ave, Shenandoah, IA 51601 Phone: 712-246-7300 | |
Shelby Marie Vanleuven, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Jack Foster Dr, Shenandoah, IA 51601 Phone: 712-246-7400 | |
Holly Lynn Jorgensen, FNP, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Jack Foster Dr, Shenandoah, IA 51601 Phone: 712-246-7400 | |
Rachel Lauren Timmerman, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Jack Foster Dr, Shenandoah, IA 51601 Phone: 712-246-7400 | |
Jenifer Ann Deziel, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Shenandoah Medical Center, 300 Pershing Avenue, Shenandoah, IA 51601 Phone: 712-246-1230 Fax: 605-719-8826 | |
Stephanie Robinette, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Jack Foster Dr, Shenandoah, IA 51601 Phone: 712-246-7400 |