Individual
BETHANY G LOGSDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 7TH AVE N, SAINT PETERSBURG, FL 33705-1300
(727) 825-1100
Mailing address
1200 7TH AVE N, SAINT PETERSBURG, FL 33705-1388
(727) 825-1100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9385387
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11005467
FL
Other
Enumeration date
10/09/2019
Last updated
04/09/2023
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