Provider Demographics
NPI:1467436980
Name:MARGET, ANNETTE K (APRN)
Entity Type:Individual
Prefix:
First Name:ANNETTE
Middle Name:K
Last Name:MARGET
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-9700
Mailing Address - Country:US
Mailing Address - Phone:402-460-3128
Mailing Address - Fax:402-460-3144
Practice Address - Street 1:4200 W 2ND ST
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-9700
Practice Address - Country:US
Practice Address - Phone:402-460-3128
Practice Address - Fax:402-460-3144
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110467363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily