Provider Demographics
NPI:1346544145
Name:PERRY, MARGARET (NP-C)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:PERRY
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4967 CROOKS RD
Mailing Address - Street 2:STE 130
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-5801
Mailing Address - Country:US
Mailing Address - Phone:248-952-1601
Mailing Address - Fax:248-952-1614
Practice Address - Street 1:4967 CROOKS RD
Practice Address - Street 2:STE 130
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48098-5813
Practice Address - Country:US
Practice Address - Phone:586-493-8844
Practice Address - Fax:586-493-3355
Is Sole Proprietor?:No
Enumeration Date:2011-01-07
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704244544363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily