Healthcare Provider Details

I. General information

NPI: 1144402298
Provider Name (Legal Business Name): MARGARET LYNN MCQUEEN DRPH, MS, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2007
Last Update Date: 11/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 VERMONT AVE NW 10(Q)
WASHINGTON DC
20420-0001
US

IV. Provider business mailing address

810 VERMONT AVE NW 10(Q)
WASHINGTON DC
20420-0001
US

V. Phone/Fax

Practice location:
  • Phone: 202-266-4509
  • Fax:
Mailing address:
  • Phone: 202-266-4509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number0001193900
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: