Provider Demographics
NPI:1831452127
Name:CANTWELL, MARGARET ODDY (RN)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ODDY
Last Name:CANTWELL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 BROADWAY
Mailing Address - Street 2:SUITE #3
Mailing Address - City:SARANAC LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12983-1403
Mailing Address - Country:US
Mailing Address - Phone:518-891-4471
Mailing Address - Fax:518-891-7238
Practice Address - Street 1:136 BROADWAY
Practice Address - Street 2:SUITE #3
Practice Address - City:SARANAC LAKE
Practice Address - State:NY
Practice Address - Zip Code:12983-1404
Practice Address - Country:US
Practice Address - Phone:518-891-4471
Practice Address - Fax:518-891-7238
Is Sole Proprietor?:No
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7237633163W00000X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No171M00000XOther Service ProvidersCase Manager/Care Coordinator