Provider Demographics
NPI:1932448180
Name:TOMS, MARGO (NP)
Entity Type:Individual
Prefix:
First Name:MARGO
Middle Name:
Last Name:TOMS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:MARGO
Other - Middle Name:
Other - Last Name:ZONCA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:700 E 9TH AVE UNIT 106
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-3360
Mailing Address - Country:US
Mailing Address - Phone:303-929-2867
Mailing Address - Fax:
Practice Address - Street 1:700 E 9TH AVE UNIT 106
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-3360
Practice Address - Country:US
Practice Address - Phone:303-837-1060
Practice Address - Fax:303-830-9398
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-07
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN0004376363LW0102X
CO0004376363LW0102X
COAPN.0004376363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health