Individual
LOGAN DEGE PEARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
185 SHERMAN DR, ST JOHNSBURY, VT 05819-9811
(802) 748-5041
Mailing address
165 SHERMAN DR, ST JOHNSBURY, VT 05819-9811
(802) 748-9405
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101.0134212
VT
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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