Provider Demographics
NPI:1629735063
Name:WESTFOX, MARGARET MARIA (RN)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:MARIA
Last Name:WESTFOX
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:822 E GORHAM ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53703-1524
Mailing Address - Country:US
Mailing Address - Phone:608-886-5005
Mailing Address - Fax:
Practice Address - Street 1:5225 BLAZINGSTAR LN
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:WI
Practice Address - Zip Code:53711-7622
Practice Address - Country:US
Practice Address - Phone:608-886-5005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-19
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI195202163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse