Individual provider · Type 1 NPI
Holly Rae Logan, MSN, FNP-BC
Family Nurse Practitioner · Brunswick, ME
NPI number
1124514120
Active
Practice location
121 Medical Center Dr Ste 2600
Brunswick, ME 04011-2668
Mailing address
78 Logan Ridge Rd
Chelsea, ME 04330-1288
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | CNP181101 (ME) |
Family Nurse Practitioner: Definition to come...
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About NPI 1124514120
Holly Rae Logan, MSN, FNP-BC's National Provider Identifier is 1124514120, issued on Jul 3, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Brunswick, ME. The record was last updated on Jul 3, 2018.