Individual
MS. ANITA GAIL LOGAN-BELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-BC
Contact information
Practice address
1520 KELLEY PL, WALLA WALLA, WA 99362-8654
(509) 524-2920
(509) 524-2993
Mailing address
PO BOX 1595, WALLA WALLA, WA 99362-0329
(509) 524-2920
(509) 524-2993
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN00073556
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251B00000X
—
WA
05
—
251S00000X
—
WA
Enumeration date
02/17/2011
Last updated
02/17/2011
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