Provider Demographics
NPI:1154493096
Name:FAISST, MARGARET CLARE (RN)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:CLARE
Last Name:FAISST
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 HICKORY HL
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:NY
Mailing Address - Zip Code:14414-1342
Mailing Address - Country:US
Mailing Address - Phone:585-226-8625
Mailing Address - Fax:585-226-8625
Practice Address - Street 1:41 HICKORY HL
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:NY
Practice Address - Zip Code:14414-1342
Practice Address - Country:US
Practice Address - Phone:585-226-8625
Practice Address - Fax:585-226-8625
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY338107-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse