Individual
LOGAN ELIZABETH RUTH BURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-2000
Mailing address
200 WALNUT ST APT 214, KANSAS CITY, MO 64106-1018
(816) 456-0330
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2018003512
MO
Other
Enumeration date
08/03/2022
Last updated
10/22/2022
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