| Doctor Name: | MARGARET ANN BLACKBURN |
| NPI Number: | 1902904774 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CFNP |
| License Number: | 48923 |
| Business Practice Address: | 1455 Robert C Byrd Dr Crab Orchard, WV - 258279441 |
| Business Phone Number: | 3042555533 |
| Business Fax Number: | 3049295533 |
| Mailing Address: | Po Box 755, 1455 Robert C. Byrd Drive CRAB ORCHARD |
| State: | WV |
| Postal Code: | 258270755 |
| Phone Number: | 3042555533 |
| Fax Number: | 3049295533 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 48923 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |