Provider Demographics
NPI:1235451824
Name:TOUGAS, MARIE NANCY
Entity Type:Individual
Prefix:MS
First Name:MARIE
Middle Name:NANCY
Last Name:TOUGAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11287 OSAGE CIR
Mailing Address - Street 2:UNIT B
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80234-4784
Mailing Address - Country:US
Mailing Address - Phone:303-875-7982
Mailing Address - Fax:303-450-5020
Practice Address - Street 1:11287 OSAGE CIRCLE
Practice Address - Street 2:UNIT B
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80234
Practice Address - Country:US
Practice Address - Phone:303-875-7982
Practice Address - Fax:303-450-5020
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-23
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO390200000X390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program