Individual
MRS. CODI LYNNE LOGSDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1416 PENN AVE, WYOMISSING, PA 19610-2134
(610) 376-3936
Mailing address
1416 PENN AVE, WYOMISSING, PA 19610-2134
(610) 376-3936
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN630027
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
SP016619
PA
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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