Individual
MRS. JUDITH M LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR COMMUNITY HOSPITAL, FORT BELVOIR, VA 22060
(571) 231-3363
Mailing address
5315 DUNLEIGH DR, BURKE, VA 22015-1650
(703) 978-0005
(703) 978-0005
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
075631
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075631
RN LICENSE
AZ
Enumeration date
08/15/2008
Last updated
09/16/2011
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