Provider Demographics
NPI:1811215023
Name:KING, MARGARET (OGNP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:KING
Suffix:
Gender:F
Credentials:OGNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224D CORNWALL STREET, NW, SUITE 403
Mailing Address - Street 2:SUITE 410
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-3701
Mailing Address - Country:US
Mailing Address - Phone:571-209-1829
Mailing Address - Fax:202-296-9784
Practice Address - Street 1:1800 TOWN CENTER DRIVE, SUITE 220
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-3238
Practice Address - Country:US
Practice Address - Phone:703-435-2555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-12
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN54222363LX0001X
VA0024109897363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA30017647130001Medicaid
VA1811215023Medicaid