Provider Demographics
NPI:1720205271
Name:SPAIN, MARGARET PATRICK (APRN)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:PATRICK
Last Name:SPAIN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1238 DEARSLEY CT
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-5229
Mailing Address - Country:US
Mailing Address - Phone:843-881-8746
Mailing Address - Fax:
Practice Address - Street 1:99 JONATHAN LUCAS ST
Practice Address - Street 2:MEDICAL UNIVERSITY OF SOUTH CAROLINA
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-8900
Practice Address - Country:US
Practice Address - Phone:843-792-2315
Practice Address - Fax:843-792-1741
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1195363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily