Provider Demographics
NPI:1225322720
Name:MARGELL, GERRIE
Entity Type:Individual
Prefix:
First Name:GERRIE
Middle Name:
Last Name:MARGELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6448 NE 129TH PLACE
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-5718
Mailing Address - Country:US
Mailing Address - Phone:425-444-2191
Mailing Address - Fax:
Practice Address - Street 1:6448 NE 129TH PLACE
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-5718
Practice Address - Country:US
Practice Address - Phone:425-444-2191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-02
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA601559454374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula