Healthcare Provider Details

I. General information

NPI: 1407637564
Provider Name (Legal Business Name): HANNAH MULLINS TOOTHAKER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HANNAH FOLGER FNP

II. Dates (important events)

Enumeration Date: 10/13/2023
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 SPURWINK AVE
CAPE ELIZABETH ME
04107-9604
US

IV. Provider business mailing address

155 SPURWINK AVE
CAPE ELIZABETH ME
04107-9604
US

V. Phone/Fax

Practice location:
  • Phone: 207-767-2174
  • Fax: 207-767-1348
Mailing address:
  • Phone: 207-767-2174
  • Fax: 207-767-1348

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberCNP231557
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code364SE0003X
TaxonomyEmergency Clinical Nurse Specialist
License NumberCNP231557
License Number StateME
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP231557
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: