Provider Demographics
NPI:1013968411
Name:LOVE, MARGARET L (PA-C)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:L
Last Name:LOVE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 47
Mailing Address - Street 2:32 W. PEARL ST.
Mailing Address - City:RISING SUN
Mailing Address - State:MD
Mailing Address - Zip Code:21911-0047
Mailing Address - Country:US
Mailing Address - Phone:302-633-5302
Mailing Address - Fax:302-633-5582
Practice Address - Street 1:1601 KIRKWOOD HWY
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-4917
Practice Address - Country:US
Practice Address - Phone:302-633-5302
Practice Address - Fax:302-633-5582
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEC50000318363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical