Provider Demographics
NPI:1578568788
Name:LIGHT, MARGARET RIGGAN (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:RIGGAN
Last Name:LIGHT
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:ANNE
Other - Last Name:RIGGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1801 ROBERT FULTON DR
Mailing Address - Street 2:SUITE 140
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20191-5461
Mailing Address - Country:US
Mailing Address - Phone:703-876-9300
Mailing Address - Fax:
Practice Address - Street 1:1801 ROBERT FULTON DR
Practice Address - Street 2:STE 140
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191-5461
Practice Address - Country:US
Practice Address - Phone:703-876-9300
Practice Address - Fax:703-876-9811
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024054663363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health