Provider Demographics
NPI:1073392817
Name:TUOHY, MELISSA KAY (APRN, AGNP-C)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:KAY
Last Name:TUOHY
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Gender:
Credentials:APRN, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 SUMMERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06492-3430
Mailing Address - Country:US
Mailing Address - Phone:203-814-9864
Mailing Address - Fax:
Practice Address - Street 1:67 MASONIC AVE STE 2400
Practice Address - Street 2:
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-3099
Practice Address - Country:US
Practice Address - Phone:203-793-3420
Practice Address - Fax:203-404-5790
Is Sole Proprietor?:No
Enumeration Date:2023-09-21
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT12434363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology