Individual
CATHERINE RYAN LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
121 CREEKSIDE LN, WINCHESTER, VA 22602-2429
(540) 303-1475
Mailing address
424 FAIRMONT AVE, WINCHESTER, VA 22601-3929
(540) 303-1475
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001144488
VA
163WN1003X
Nutrition Support Registered Nurse
0001144488
VA
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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