Individual
MRS. HOLLY RAE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
121 MEDICAL CENTER DR STE 2600, BRUNSWICK, ME 04011-2668
(207) 721-8333
Mailing address
78 LOGAN RIDGE RD, CHELSEA, ME 04330-1288
(207) 557-1297
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP181101
ME
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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