Provider Demographics
NPI:1568601078
Name:BROWN, MARGARET R (ANP-BC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:R
Last Name:BROWN
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 W SQUANTUM ST
Mailing Address - Street 2:
Mailing Address - City:NORTH QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02171-2122
Mailing Address - Country:US
Mailing Address - Phone:617-376-3030
Mailing Address - Fax:
Practice Address - Street 1:9 BICKNELL ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-6003
Practice Address - Country:US
Practice Address - Phone:617-376-3030
Practice Address - Fax:617-774-1906
Is Sole Proprietor?:No
Enumeration Date:2009-02-08
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA273951363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health