Provider Demographics
NPI:1417208232
Name:DAHL, MARGARET (RN)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:DAHL
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 1:13646 INTERLAKE RD
Mailing Address - Street 2:
Mailing Address - City:HATTON
Mailing Address - State:ND
Mailing Address - Zip Code:58240-9056
Mailing Address - Country:US
Mailing Address - Phone:701-430-2231
Mailing Address - Fax:
Practice Address - Street 1:13646 INTERLAKE RD
Practice Address - Street 2:
Practice Address - City:HATTON
Practice Address - State:ND
Practice Address - Zip Code:58240-9056
Practice Address - Country:US
Practice Address - Phone:701-430-2231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-20
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR13333163W00000X
MN1418552163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse