Provider Demographics
NPI:1700845484
Name:KREBS, MARGARET R (ANP WHNP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:R
Last Name:KREBS
Suffix:
Gender:F
Credentials:ANP WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 GLENSIDE DR STE 105
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-3769
Mailing Address - Country:US
Mailing Address - Phone:804-288-2762
Mailing Address - Fax:804-285-0088
Practice Address - Street 1:1630 WILKES CREEK PARKWAY STE 300
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23233
Practice Address - Country:US
Practice Address - Phone:804-288-0057
Practice Address - Fax:804-288-0389
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001167185163WW0101X
VA0017137250174400000X
VA0024164766174400000X, 363LW0102X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
No174400000XOther Service ProvidersSpecialist
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC09462OtherGROUP PTAN
P33090Medicare UPIN