Provider Demographics
NPI:1023581725
Name:MIDDELSTADT, MARGARET (DNP/FNP)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:MIDDELSTADT
Suffix:
Gender:F
Credentials:DNP/FNP
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:HEATH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:659 S HIGH ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-4526
Mailing Address - Country:US
Mailing Address - Phone:303-915-7650
Mailing Address - Fax:
Practice Address - Street 1:799 E HAMPDEN AVE STE 430
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2766
Practice Address - Country:US
Practice Address - Phone:303-733-8848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-04
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0994390-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily