Provider Demographics
NPI:1740600139
Name:AMIN, MARGARET LYNN (RN NP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:LYNN
Last Name:AMIN
Suffix:
Gender:F
Credentials:RN NP
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Other - Credentials:
Mailing Address - Street 1:23774 CEDAR CREEK TER
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92557-2902
Mailing Address - Country:US
Mailing Address - Phone:951-500-5073
Mailing Address - Fax:
Practice Address - Street 1:23774 CEDAR CREEK TER
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92557-2902
Practice Address - Country:US
Practice Address - Phone:951-500-5073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-24
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CARN301723 NP9071363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health