Provider Demographics
NPI:1932142791
Name:SCROGGS, MARGARET P (FNP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:P
Last Name:SCROGGS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 250
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:LA
Mailing Address - Zip Code:70755-0250
Mailing Address - Country:US
Mailing Address - Phone:225-637-3535
Mailing Address - Fax:225-637-3030
Practice Address - Street 1:3041 FORDOCHE RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:LA
Practice Address - Zip Code:70755-3303
Practice Address - Country:US
Practice Address - Phone:225-637-3535
Practice Address - Fax:225-637-3030
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP02650363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1545686Medicaid
LA1545686Medicaid
LAS75278Medicare UPIN
LA5X781CS18Medicare PIN