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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP181101 | ME | Physician Assistants & Advanced Practice Nursing Providers |
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 |
Street Address |
121 MEDICAL CENTER DR STE 2600 |
City | BRUNSWICK |
State | ME |
Zip Code | 04011-2668 |
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 |
Find all providers in zip 04011 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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 |
Find all providers in BRUNSWICK |
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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.