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1205743770 NPI number — BREEANN MARIE LOGSDON RN, BSN

NPI Number: 1205743770
Health Care Provider/Practitioner: BREEANN MARIE LOGSDON RN, BSN

Information about “1205743770” NPI (BREEANN MARIE LOGSDON RN, BSN) exists in 1205743770 in HTML format HTML  |  1205743770 in plain Text format TXT  |  1205743770 in PDF (Portable Document Format) PDF  |  1205743770 in an XML format XML  formats.

NPI Number : 1205743770 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1205743770",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LOGSDON",
    "FirstName": "BREEANN",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RN, BSN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CLARK",
    "OtherFirstName": "BREEANN",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1225 LAWRENCE RD APT 1033",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KEMAH",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77565-0320",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "512-540-4251",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "436 5TH AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "KOTZEBUE",
    "PracticeLocationAddressStateName": "AK",
    "PracticeLocationAddressPostalCode": "99752",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "907-442-7334",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/27/2026",
    "LastUpdateDate": "08/27/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "390200000X",
        "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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