MEDICARE: MRS. MARGARET BAGWELL MARANTE R.N.

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
1	163W00000X	Registered Nurse	RN 404862	FL

General Provider Information

NPI Number	:	1942580279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARGARET BAGWELL MARANTE R.N.

Provider Business Mailing Address
First Line	:	4772 BERWYN CT
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34685-2618
Country	:	US
Telephone Number	:	727-944-2727
Fax Number	:	727-944-2500

Provider Business Practice Location Address
First Line	:	4772 BERWYN CT
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34685-2618
Country	:	US
Telephone Number	:	727-944-2727
Fax Number	:	727-944-2500

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2011
Last Update Date	:	08/17/2011

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