Provider Demographics
NPI:1669613915
Name:WOJCIECHOWSKI, MARGARET A (CRNP)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:A
Last Name:WOJCIECHOWSKI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:600 WHITESPORT CIR SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-6495
Mailing Address - Country:US
Mailing Address - Phone:256-705-4405
Mailing Address - Fax:255-705-4630
Practice Address - Street 1:600 WHITESPORT CIR SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-6495
Practice Address - Country:US
Practice Address - Phone:256-705-4405
Practice Address - Fax:255-705-4630
Is Sole Proprietor?:No
Enumeration Date:2009-03-17
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1092056363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051554571Medicaid
AL051554571Medicaid
AL0051554571Medicare NSC