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Individual

ERIKA TEPLY LOGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-BC, RN

Contact information

Practice address
4301 X ST, SACRAMENTO, CA 95817-2214
(916) 734-2011
Mailing address
4301 X ST, SACRAMENTO, CA 95817-2214
(916) 734-2011

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
802685
CA
363L00000X
Nurse Practitioner
Primary
95026357
CA

Other

Enumeration date
04/03/2025
Last updated
05/01/2026
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