Provider Demographics
NPI:1699404426
Name:LOGSDON, CATHLEEN JOHN NESBITT (RN)
Entity Type:Individual
Prefix:
First Name:CATHLEEN
Middle Name:JOHN NESBITT
Last Name:LOGSDON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6432 JENNIFER CT
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:45044-5773
Mailing Address - Country:US
Mailing Address - Phone:630-746-0974
Mailing Address - Fax:
Practice Address - Street 1:6432 JENNIFER CT
Practice Address - Street 2:
Practice Address - City:LIBERTY TOWNSHIP
Practice Address - State:OH
Practice Address - Zip Code:45044-5773
Practice Address - Country:US
Practice Address - Phone:630-746-0974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.504683163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse