Provider Demographics
NPI:1003593385
Name:KURTZ, MARGARET MARIE (NP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:MARIE
Last Name:KURTZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8697 HOLLIS CT
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-2028
Mailing Address - Country:US
Mailing Address - Phone:937-367-8414
Mailing Address - Fax:
Practice Address - Street 1:8697 HOLLIS CT
Practice Address - Street 2:
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-2028
Practice Address - Country:US
Practice Address - Phone:937-367-8414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-29
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0033835363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily