Healthcare Provider Details

I. General information

NPI: 1417065749
Provider Name (Legal Business Name): MARGARET ALLISON DEHART APRN, BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2006
Last Update Date: 12/19/2023
Certification Date: 12/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

STUDENT HEALTH CENTER, UNIVERSITY STUDENT CENTER 800 21ST ST NW, GROUND FLOOR
WASHINGTON DC
20052
US

IV. Provider business mailing address

STUDENT HEALTH CENTER, UNIVERSITY STUDENT CENTER 800 21ST ST NW, GROUND FLOOR
WASHINGTON DC
20052
US

V. Phone/Fax

Practice location:
  • Phone: 202-994-5300
  • Fax: 202-994-2622
Mailing address:
  • Phone: 202-994-5300
  • Fax: 202-994-2622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN1063063
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: