Doctor Name: | MRS. HEATHER ELIZABETH LOGSDON |
NPI Number: | 1104955848 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 499601 |
Business Practice Address: | 1111 E Stanley Blvd Ste D Livermore, CA - 945504115 |
Business Phone Number: | 9252431385 |
Business Fax Number: | |
Mailing Address: | 768 Cottonwood Ct, LIVERMORE |
State: | CA |
Postal Code: | 945513992 |
Phone Number: | 9254490137 |
Fax Number: | |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 499601 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |