Provider Demographics
NPI:1790826782
Name:EPPERT, MARGARET PEGGY
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:PEGGY
Last Name:EPPERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2825 W PRIVATE ROAD 1375 N
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:IN
Mailing Address - Zip Code:47874-8005
Mailing Address - Country:US
Mailing Address - Phone:812-442-0786
Mailing Address - Fax:812-442-0786
Practice Address - Street 1:2825 W PRIVATE ROAD 1375 N
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:IN
Practice Address - Zip Code:47874-8005
Practice Address - Country:US
Practice Address - Phone:812-442-0786
Practice Address - Fax:812-442-0786
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist