Individual
MS. DEBORAH NOEL LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, NP
Contact information
Practice address
204 E BEACH ST, WATSONVILLE, CA 95076-4809
(831) 728-0222
(831) 707-2777
Mailing address
195 AVIATION WAY, SUITE 200, WATSONVILLE, CA 95076-2053
(831) 728-8250
(831) 707-2777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN502794
CA
363L00000X
Nurse Practitioner
NP13765
CA
367A00000X
Advanced Practice Midwife
Primary
CNM1428
CA
Other
Enumeration date
01/15/2008
Last updated
08/11/2016
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