Individual
DAWN MARIE LOGSDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PMHNP
Contact information
Practice address
4600 MILLENNIUM DR, GENESEO, NY 14454-1197
(585) 243-7250
Mailing address
60 MAIN ST, WYOMING, NY 14591-9702
(585) 356-9665
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
632565
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406427
NY
Other
Enumeration date
06/07/2023
Last updated
10/04/2024
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