Provider Demographics
NPI:1134110570
Name:BEAVER, MARGARET (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:
Last Name:BEAVER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 HOFFMAN BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST MIFFLIN
Mailing Address - State:PA
Mailing Address - Zip Code:15122-2301
Mailing Address - Country:US
Mailing Address - Phone:412-462-6255
Mailing Address - Fax:412-462-2149
Practice Address - Street 1:1713 ARDMORE BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-4405
Practice Address - Country:US
Practice Address - Phone:412-247-3222
Practice Address - Fax:412-247-3229
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN179647L363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PATP000133AOtherCRNP PEG
PATP000133AOtherCRNP PEG
PAP30305Medicare UPIN