Provider Demographics
NPI:1275680100
Name:JAHRIES, MARGARET AFTON (APRN)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:AFTON
Last Name:JAHRIES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8178 GORGOZA PINES RD
Mailing Address - Street 2:SUITE H
Mailing Address - City:PARK CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84098-4607
Mailing Address - Country:US
Mailing Address - Phone:435-604-0259
Mailing Address - Fax:435-604-0260
Practice Address - Street 1:8178 GORGOZA PINES RD
Practice Address - Street 2:SUITE H
Practice Address - City:PARK CITY
Practice Address - State:UT
Practice Address - Zip Code:84098-4607
Practice Address - Country:US
Practice Address - Phone:435-604-0259
Practice Address - Fax:435-604-0260
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT01-99354-4405163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse