Provider Demographics
NPI:1407637564
Name:TOOTHAKER, HANNAH MULLINS (FNP)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:MULLINS
Last Name:TOOTHAKER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:FOLGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:155 SPURWINK AVE
Mailing Address - Street 2:
Mailing Address - City:CAPE ELIZABETH
Mailing Address - State:ME
Mailing Address - Zip Code:04107-9604
Mailing Address - Country:US
Mailing Address - Phone:207-767-2174
Mailing Address - Fax:207-767-1348
Practice Address - Street 1:155 SPURWINK AVE
Practice Address - Street 2:
Practice Address - City:CAPE ELIZABETH
Practice Address - State:ME
Practice Address - Zip Code:04107-9604
Practice Address - Country:US
Practice Address - Phone:207-767-2174
Practice Address - Fax:207-767-1348
Is Sole Proprietor?:No
Enumeration Date:2023-10-13
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECNP231557363L00000X, 364SE0003X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No364SE0003XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistEmergency