Healthcare Provider Details

I. General information

NPI: 1164728135
Provider Name (Legal Business Name): BRITTANY FOX HOUGH PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2011
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

690 MINOT AVE
AUBURN ME
04210-3922
US

IV. Provider business mailing address

690 MINOT AVE
AUBURN ME
04210-3922
US

V. Phone/Fax

Practice location:
  • Phone: 207-783-1328
  • Fax: 207-783-9086
Mailing address:
  • Phone: 207-783-1328
  • Fax: 207-783-9086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA1246
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA2579
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: