IndividualActive
Jenna Logiudice, LNM
NPI 1548423973 · Advanced Practice Midwife · Waterbury, CT
Provider details
- NPI number
- 1548423973
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Credential
- LNM
- Sex
- Female
- Sole proprietor
- Yes
- License
- 000319 (CT)
Practice location
134 Grandview Ave
Suite 210
Waterbury, CT 06708-2507
Phone: (203) 754-2535
Fax: (203) 754-0788
Mailing address
134 Grandview Ave
Waterbury, CT 06708-2507
Registry dates
- Enumerated
- 2008-07-07
- Last updated
- 2015-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.