Individual
MS. ELIZABETH HELEN LOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3805 SAN DIMAS ST STE B, BAKERSFIELD, CA 93301-5725
(661) 327-8000
Mailing address
15202 THUNDER VALLEY RD, BAKERSFIELD, CA 93314-7222
(661) 345-1925
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
701740
CA
363L00000X
Nurse Practitioner
Primary
17212
CA
Other
Enumeration date
06/06/2009
Last updated
05/25/2010
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