Provider Demographics
NPI:1124011846
Name:MCMANUS, MARGARET CLAIRE (MS)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:CLAIRE
Last Name:MCMANUS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:CLAIRE
Other - Last Name:BOTTCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:330 N HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-3610
Mailing Address - Country:US
Mailing Address - Phone:410-576-2147
Mailing Address - Fax:410-779-7910
Practice Address - Street 1:330 N HOWARD ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-3610
Practice Address - Country:US
Practice Address - Phone:410-576-2147
Practice Address - Fax:410-779-7910
Is Sole Proprietor?:No
Enumeration Date:2005-08-28
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR137664363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily