Healthcare Provider Details

I. General information

NPI: 1669613915
Provider Name (Legal Business Name): MARGARET A WOJCIECHOWSKI CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2009
Last Update Date: 03/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 WHITESPORT CIR SW
HUNTSVILLE AL
35801-6495
US

IV. Provider business mailing address

600 WHITESPORT CIR SW
HUNTSVILLE AL
35801-6495
US

V. Phone/Fax

Practice location:
  • Phone: 256-705-4405
  • Fax: 255-705-4630
Mailing address:
  • Phone: 256-705-4405
  • Fax: 255-705-4630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1092056
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: