Provider Demographics
NPI:1407244726
Name:KEUR, MARGOT EDITH (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARGOT
Middle Name:EDITH
Last Name:KEUR
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 1:892 S ROSA LINDA DR
Mailing Address - Street 2:
Mailing Address - City:PUEBLO WEST
Mailing Address - State:CO
Mailing Address - Zip Code:81007-2055
Mailing Address - Country:US
Mailing Address - Phone:719-251-2717
Mailing Address - Fax:
Practice Address - Street 1:892 S ROSA LINDA DR
Practice Address - Street 2:
Practice Address - City:PUEBLO WEST
Practice Address - State:CO
Practice Address - Zip Code:81007-2055
Practice Address - Country:US
Practice Address - Phone:719-251-2717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-09
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0053342163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse