IndividualActive
Logan Dudley
NPI 1003796491 · Emergency Registered Nurse · Charlottesville, VA
Provider details
- NPI number
- 1003796491
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Sole proprietor
- No
- License
- 0001327146 (VA)
Specialties & taxonomies
Nursing Service Providers
Practice location
1215 Lee St
Charlottesville, VA 22908-0816
Phone: (434) 924-3627
Approximate (ZIP-level) locationGet directions
Mailing address
1215 Lee St
Charlottesville, VA 22908-0816
Registry dates
- Enumerated
- 2025-09-05
- Last updated
- 2025-09-05
- Certified
- 2025-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.