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NPI Code Detail

MEDICARE: MARGARET LEIGH MACHAFFIE FNP

MEDICARE: MARGARET LEIGH MACHAFFIE FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner94112CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1804073OTHERCOMEDICARE

General Provider Information

NPI Number : 1891762068
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET LEIGH MACHAFFIE FNP
Provider Business Mailing Address
First Line : 4125 BRIARGATE PKWY
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-7804
Country : US
Telephone Number : 719-305-9210
Fax Number : 719-305-9715
Provider Business Practice Location Address
First Line : 4125 BRIARGATE PKWY
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-7804
Country : US
Telephone Number : 719-305-9210
Fax Number : 719-305-9715
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 10/05/2016

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