Provider Demographics
NPI:1740353762
Name:NILSON, MARGARET (AUD, CCC-A)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:NILSON
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3555 HOLLY LN N
Mailing Address - Street 2:SUITE 10
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55447-1285
Mailing Address - Country:US
Mailing Address - Phone:952-486-7428
Mailing Address - Fax:
Practice Address - Street 1:3555 HOLLY LN N
Practice Address - Street 2:SUITE 10
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55447-1285
Practice Address - Country:US
Practice Address - Phone:952-486-7428
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6379237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter