Provider Demographics
NPI:1770681371
Name:TOUHEY, MEGAN J (NP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:J
Last Name:TOUHEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:MEGAN
Other - Middle Name:JEAN
Other - Last Name:MORSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP
Mailing Address - Street 1:100 GANNETT DRIVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-5900
Mailing Address - Country:US
Mailing Address - Phone:207-828-0361
Mailing Address - Fax:207-874-1483
Practice Address - Street 1:259 MAIN STREET
Practice Address - Street 2:
Practice Address - City:YARMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04096-6723
Practice Address - Country:US
Practice Address - Phone:207-846-9013
Practice Address - Fax:207-523-8596
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP181065363L00000X
TX591556363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MANP3364OtherBLUE CROSS
MA91287OtherFALLON
TXTXB162623Medicare PIN
P35835Medicare UPIN
TXTXB162627Medicare PIN
TXTXB162619Medicare PIN
MANP3364OtherBLUE CROSS