Provider Demographics
NPI:1194005751
Name:KROB, MARGARET LISA (RN RCP)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:LISA
Last Name:KROB
Suffix:
Gender:F
Credentials:RN RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37523 JORDAN DR
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-5913
Mailing Address - Country:US
Mailing Address - Phone:216-402-6344
Mailing Address - Fax:
Practice Address - Street 1:37523 JORDAN DR
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-5913
Practice Address - Country:US
Practice Address - Phone:216-402-6344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH314507163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator