Healthcare Provider Details

I. General information

NPI: 1326327578
Provider Name (Legal Business Name): MARGARET ELLEN CORRIGAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2011
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 N PONCE DE LEON BLVD STE 1
ST AUGUSTINE FL
32084-2650
US

IV. Provider business mailing address

2200 N PONCE DE LEON BLVD STE 1
ST AUGUSTINE FL
32084-2650
US

V. Phone/Fax

Practice location:
  • Phone: 904-657-5736
  • Fax: 904-877-5276
Mailing address:
  • Phone: 904-657-5736
  • Fax: 904-877-5276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP3111252
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: