Provider Demographics
NPI:1780051409
Name:POOLE, MARGARET ELAINE (NP)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ELAINE
Last Name:POOLE
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:856 J CLYDE MORRIS BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-1318
Mailing Address - Country:US
Mailing Address - Phone:757-594-4006
Mailing Address - Fax:
Practice Address - Street 1:1000 OLD DENBIGH BLVD
Practice Address - Street 2:SUTIE 1020A
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-2017
Practice Address - Country:US
Practice Address - Phone:757-875-2009
Practice Address - Fax:757-369-1042
Is Sole Proprietor?:No
Enumeration Date:2015-08-28
Last Update Date:2015-08-28
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Provider Licenses
StateLicense IDTaxonomies
VA0024172693363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology