Provider Demographics
NPI:1811975626
Name:LEITER, MARGARET ANN (APN)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:ANN
Last Name:LEITER
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 MEETINGHOUSE CT
Mailing Address - Street 2:
Mailing Address - City:SHAMONG
Mailing Address - State:NJ
Mailing Address - Zip Code:08088-9421
Mailing Address - Country:US
Mailing Address - Phone:609-268-0388
Mailing Address - Fax:
Practice Address - Street 1:4 ECHELON MALL
Practice Address - Street 2:201 LAUREL ROAD LOWER LEVEL
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-2315
Practice Address - Country:US
Practice Address - Phone:856-905-7948
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN08559300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ098710XVAMedicare UPIN