Provider Demographics
NPI:1124391305
Name:VINCENT, MARGARET ASHLEY LONG (RN CDE)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET ASHLEY
Middle Name:LONG
Last Name:VINCENT
Suffix:
Gender:F
Credentials:RN CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:714 NORTH BETHLEHEM PIKE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LOWER GWYNEDD
Mailing Address - State:PA
Mailing Address - Zip Code:19002-2655
Mailing Address - Country:US
Mailing Address - Phone:215-283-2833
Mailing Address - Fax:215-283-1919
Practice Address - Street 1:714 NORTH BETHLEHEM PIKE
Practice Address - Street 2:SUITE 300
Practice Address - City:LOWER GWYNEDD
Practice Address - State:PA
Practice Address - Zip Code:19002-2655
Practice Address - Country:US
Practice Address - Phone:215-283-2833
Practice Address - Fax:215-283-1919
Is Sole Proprietor?:No
Enumeration Date:2012-02-17
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN301248L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse