Provider Demographics
NPI:1821285024
Name:ANGEVINE, MARGARET MCGARRITY (NP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:MCGARRITY
Last Name:ANGEVINE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:KATHARINE
Other - Last Name:MCGARRITY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:6508 DEER POINTE DR.
Mailing Address - Street 2:SUITE A
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804
Mailing Address - Country:US
Mailing Address - Phone:401-543-1957
Mailing Address - Fax:540-786-0677
Practice Address - Street 1:1526 LOMBARD ST.
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19146
Practice Address - Country:US
Practice Address - Phone:215-546-5970
Practice Address - Fax:540-361-1246
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-02
Last Update Date:2014-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003698363LA2200X
VA0024168235363LA2200X
PASP013587363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA019246P75Medicare PIN