Individual
LEONA RENATE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
817 FRANKLIN ST, JOHNSTOWN, PA 15901-2800
(814) 535-5545
(814) 535-5574
Mailing address
817 FRANKLIN ST, JOHNSTOWN, PA 15901-2800
(814) 535-5545
(814) 535-5574
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
MW008414L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01815173
—
PA
01
—
1384812
HIGHMARK
PA
Enumeration date
02/23/2006
Last updated
07/03/2014
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