Provider Demographics
NPI:1730285099
Name:POTHIER, MARGARET M (CRNA)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:M
Last Name:POTHIER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 CARLTON ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-4056
Mailing Address - Country:US
Mailing Address - Phone:617-732-7486
Mailing Address - Fax:617-975-0885
Practice Address - Street 1:82 CARLTON ST
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-4056
Practice Address - Country:US
Practice Address - Phone:617-732-7486
Practice Address - Fax:617-975-0885
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA131382163W00000X
RI131382367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered