Provider Demographics
NPI:1538101878
Name:MAUPIN, MARGARET ANN (NP)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ANN
Last Name:MAUPIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:MARGARET
Other - Middle Name:ANN
Other - Last Name:MAUPIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:4015 WAHA RD
Mailing Address - Street 2:
Mailing Address - City:KALAHEO
Mailing Address - State:HI
Mailing Address - Zip Code:96741-9407
Mailing Address - Country:US
Mailing Address - Phone:808-635-2082
Mailing Address - Fax:
Practice Address - Street 1:4015 WAHA RD
Practice Address - Street 2:
Practice Address - City:KALAHEO
Practice Address - State:HI
Practice Address - Zip Code:96741-9407
Practice Address - Country:US
Practice Address - Phone:808-635-2082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN 985363LC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q17464Medicare UPIN