Provider Demographics
NPI:1093921835
Name:MCCRIGHT, MARGARET DIANE HAWKINS (APN)
Entity Type:Individual
Prefix:
First Name:MARGARET DIANE
Middle Name:HAWKINS
Last Name:MCCRIGHT
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:DIANE
Other - Middle Name:H
Other - Last Name:MCCRIGHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APN
Mailing Address - Street 1:1171 7TH ST.
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50314-2505
Mailing Address - Country:US
Mailing Address - Phone:515-280-7004
Mailing Address - Fax:515-280-9525
Practice Address - Street 1:5921 W. 12TH ST.
Practice Address - Street 2:STE. C
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72204-1623
Practice Address - Country:US
Practice Address - Phone:501-801-0001
Practice Address - Fax:501-801-0205
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0054285363LF0000X
ARA03249ANP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily