MRS. HOLLY RAE LOGAN MSN, FNP-BC
NPI 1124514120
Nurse Practitioner - Family in Brunswick, ME

Active since July 03, 2018
121 MEDICAL CENTER DR STE 2600, BRUNSWICK, ME 04011(207) 721-8333 Get Directions Write a Review

NPPES record last updated: July 3, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mrs. Holly Rae Logan Msn, Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. HOLLY RAE LOGAN MSN, FNP-BC (NPI 1124514120) is an individual family provider in Brunswick, Maine, licensed in Maine (CNP181101) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1124514120
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. HOLLY RAE LOGANCredential: MSN, FNP-BC
Location Address121 MEDICAL CENTER DR STE 2600Brunswick, ME 04011-2668
Mailing Address78 Logan Ridge RdChelsea, ME 04330-1288 · (207) 557-1297
Sole ProprietorNo
Enumeration DateJuly 3, 2018
NPI 1124514120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in ME · CNP181101
121 MEDICAL CENTER DR STE 2600, Brunswick, ME 04011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Logan's NPI number?

The NPI number for Holly Logan is 1124514120. It was assigned to this individual provider in the NPPES registry on July 3, 2018.

Where is Holly Logan located?

Holly Logan practices at 121 Medical Center Dr Ste 2600, Brunswick, ME 04011. The listed phone number is (207) 721-8333.

What is Holly Logan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Holly Logan was last updated on July 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.