Provider Demographics
NPI:1366683401
Name:NILES, MARGARET (RN)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:NILES
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:PO BOX 54
Mailing Address - Street 2:
Mailing Address - City:EAST BURKE
Mailing Address - State:VT
Mailing Address - Zip Code:05832-0054
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1066 BURKE GREEN RD
Practice Address - Street 2:
Practice Address - City:EAST BURKE
Practice Address - State:VT
Practice Address - Zip Code:05832-9648
Practice Address - Country:US
Practice Address - Phone:802-467-8844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-19
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0260017845163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse