Provider Demographics
NPI:1790909091
Name:TOLGE, MARGARET ANN (NP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ANN
Last Name:TOLGE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 S SHORE RD
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12134-5912
Mailing Address - Country:US
Mailing Address - Phone:603-731-5237
Mailing Address - Fax:
Practice Address - Street 1:70 MAIN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:PORTER
Practice Address - State:ME
Practice Address - Zip Code:04068-3527
Practice Address - Country:US
Practice Address - Phone:207-625-8126
Practice Address - Fax:207-625-7820
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF347549363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEP10473Medicare UPIN