Individual
MRS. SUSAN DIANE LOGSDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC WHNP
Contact information
Practice address
8051 S EMERSON AVE STE 400, INDIANAPOLIS, IN 46237
(317) 865-3600
(317) 885-3850
Mailing address
8051 S EMERSON AVE STE 400, INDIANAPOLIS, IN 46237-8633
(317) 865-3600
(317) 885-3850
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
71001546A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200252450
—
IN
01
—
71001546C
CSR
IN
Enumeration date
10/19/2006
Last updated
07/11/2018
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