MRS. HOLLY RAE LOGAN MSN FNP-BC NPI 1124514120

NPI Information

NPI: 1124514120
Provider Name: MRS. HOLLY RAE LOGAN, MSN, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
121 MEDICAL CENTER DR STE 2600
BRUNSWICK, ME
ZIP 04011
Phone: (207) 721-8333
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MRS. Holly Rae Logan, MSN, FNP-BC is a family nurse practitioner in Brunswick, ME. MRS. Holly Rae Logan, MSN, FNP-BC NPI is 1124514120. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

121 MEDICAL CENTER DR STE 2600
BRUNSWICK, ME
ZIP 04011-668
Phone: (207) 721-8333

The enumeration date for this NPI number is 7/3/2018 and was last updated on 7/3/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	CNP181101	MAINE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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