MRS. HOLLY RAE LOGAN


Address: 121 Medical Center Dr Ste 2600, Brunswick, ME 04011-2668
Phone: 2077218333

MRS. HOLLY RAE LOGAN (NPI# 1124514120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124514120
Entity Type Individual
Full Name MRS. HOLLY RAE LOGAN
Credential MSN, FNP-BC
Practice Address 121 Medical Center Dr Ste 2600
Brunswick
ME 04011-2668
Mailing Address 78 Logan Ridge Rd
Chelsea
ME 04330-1288
Practice Telephone 2077218333
Mailing Telephone 2075571297
Enumeration Date 2018-07-03
Last Update Date 2018-07-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
CNP181101 ME Physician Assistants & Advanced Practice Nursing Providers

Other Providers HOLLY LOGAN

NPI Name Taxonomy Address Enumeration
1053524074 Holly Maurine Logan Physical Therapist 1601 W. St. Mary's Road, Tucson, AZ 85745 2007-05-07
1942329131 Holly Monique Logan Counselor 7246 Remmet Ave, Canoga Park, CA 91303-1531 2007-03-28

Office Location

Street Address 121 MEDICAL CENTER DR STE 2600
City BRUNSWICK
State ME
Zip Code 04011-2668

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093276370 Convenientmd LLC Clinic/Center 193 Bath Road, Brunswick, ME 04011 2019-03-28
1326571241 Psychology Specialists of Maine Psychologist 14 Maine St., Suite 309, Brunswick, ME 04011 2017-04-07
1992249775 Avita Brunswick LLC Alzheimer Center (Dementia Center) 89 Admiral Fitch Way, Brunswick, ME 04011 2016-12-13
1215303433 Mary K Kunhardt Social Worker 116 Maquoit Rd, Brunswick, ME 04011 2015-08-12
1861803843 Gretchen Jane Stevens Counselor 136 Maine Street, Suite #6, Brunswick, ME 04011 2014-05-13
1356764567 Kid Function, Inc. Clinic/Center 225 Thomas Point Road, Brunswick, ME 04011 2014-01-23
1356788921 Jacques M. Reynolds Psychiatry & Neurology 81 Medical Center Dr # 2400, Brunswick, ME 04011 2013-05-23
1922369891 Charles Russell Thorp Pharmacist 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 2012-06-06
1992076111 Benjamin C. Tyau Physician Assistant 193 Bath Rd, Brunswick, ME 04011 2012-01-19
1841575339 Bluesage Therapies Inc. Social Worker 214 Raymond Road, Brunswick, ME 04011 2011-10-15
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013515790 Jana H Christman Nurse Practitioner 81 Medical Center Dr Ste 2150, Brunswick, ME 04011-2764 2020-10-14
1265030563 Christie Tolbert Nurse Practitioner 156 Banks Dr, Brunswick, GA 31523-6205 2020-10-09
1417577800 Chahnaz El Jaouhari Nurse Practitioner 500 Westchester Dr, Brunswick, OH 44212-1868 2020-04-25
1982235370 Kristy Chesser Nurse Practitioner 2500 Starling St Ste 602, Brunswick, GA 31520-4271 2020-02-04
1861031023 Mark Ryan Wylie Nurse Practitioner 112 Palmera Ln, Brunswick, GA 31525-3032 2020-01-05
1548738107 Ruth Sroka Nurse Practitioner 4000 Sherwood Dr, Brunswick, OH 44212-2652 2018-11-12
1669949251 Jennifer Erika Stuver Nurse Practitioner 46 Skyview Dr, Brunswick, OH 44212-1204 2018-11-01
1780187120 Pamela Mesowski Hinson Nurse Practitioner 105 Clipper Bay Rd, Brunswick, GA 31523-8936 2018-03-12
1174039481 Rachel Raney Weaver-hall Nurse Practitioner 209 Prior Ave, Brunswick, GA 31525-2326 2017-12-21
1043732951 Integrated Health and Beauty Medical Center, LLC Nurse Practitioner 4230 Coral Park Dr, Brunswick, GA 31520-3016 2017-07-12
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Competitor

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City BRUNSWICK
Zip Code 04011

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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