Provider Demographics
NPI:1932131919
Name:KINGSTON, MARGOT (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:MARGOT
Middle Name:
Last Name:KINGSTON
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 GRIFFIN RD
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-4125
Mailing Address - Country:US
Mailing Address - Phone:603-431-6011
Mailing Address - Fax:603-431-6227
Practice Address - Street 1:155 GRIFFIN RD
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4125
Practice Address - Country:US
Practice Address - Phone:603-431-6011
Practice Address - Fax:603-431-6227
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH058628-23363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
11794376OtherCAQH PROVIDER ID NUMBER
NH30346172Medicaid
MK0167951OtherDEA IDENTIFICATION #
32957YMedicare UPIN