Individual
BRIANNE NICOLE LOGSDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
426 8TH ST, SUITE 102, GLEN DALE, WV 26038-1451
(304) 845-8444
Mailing address
2667 GLEN DALE HEIGHTS RD, GLEN DALE, WV 26038-1167
(304) 639-2459
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0714495
WV
Other
Enumeration date
07/16/2014
Last updated
08/20/2020
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