Provider Demographics
NPI:1417065749
Name:DEHART, MARGARET ALLISON (APRN, BC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ALLISON
Last Name:DEHART
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:STUDENT HEALTH CENTER, UNIVERSITY STUDENT CENTER
Mailing Address - Street 2:800 21ST ST NW, GROUND FLOOR
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20052
Mailing Address - Country:US
Mailing Address - Phone:202-994-5300
Mailing Address - Fax:202-994-2622
Practice Address - Street 1:STUDENT HEALTH CENTER, UNIVERSITY STUDENT CENTER
Practice Address - Street 2:800 21ST ST NW, GROUND FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20052
Practice Address - Country:US
Practice Address - Phone:202-994-5300
Practice Address - Fax:202-994-2622
Is Sole Proprietor?:No
Enumeration Date:2006-08-27
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1063063363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0739308OtherDEA
S57592Medicare UPIN