Provider Demographics
NPI:1598131765
Name:AUSTIN, MARGARET (CRNP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4107 SOUTHERN AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21206-5541
Mailing Address - Country:US
Mailing Address - Phone:443-248-0888
Mailing Address - Fax:410-601-7134
Practice Address - Street 1:4107 SOUTHERN AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21206-5541
Practice Address - Country:US
Practice Address - Phone:443-248-0888
Practice Address - Fax:410-601-7134
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-11
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR082253363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care