Doctor Name: | MS. MARGARET VANANTWERP |
NPI Number: | 1619177599 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | R60851 |
Business Practice Address: | 11 Elliott Barker Angel Fire, NM - 87710 |
Business Phone Number: | 5053773301 |
Business Fax Number: | 5753773991 |
Mailing Address: | 11 Elliott Barker, ANGEL FIRE |
State: | NM |
Postal Code: | 87710 |
Phone Number: | 5053773301 |
Fax Number: | 5753773991 |
NPI Enumeration Date: | 07/19/2007 |
NPI Last Update Date: | 04/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R60851 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |