Provider Demographics
NPI:1902813710
Name:ATEN, MARGARET JOSEPHINE (PA)
Entity Type:Individual
Prefix:MISS
First Name:MARGARET
Middle Name:JOSEPHINE
Last Name:ATEN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MISS
Other - First Name:PEGGY
Other - Middle Name:
Other - Last Name:ATEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA
Mailing Address - Street 1:PO BOX 6578
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93386-6578
Mailing Address - Country:US
Mailing Address - Phone:661-326-5052
Mailing Address - Fax:
Practice Address - Street 1:1111 COLUMBUS ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93305-1936
Practice Address - Country:US
Practice Address - Phone:661-326-5052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA13548363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPA13548OtherLICENSE