Healthcare Provider Details

I. General information

NPI: 1528619376
Provider Name (Legal Business Name): MARGARET M MCNEILL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2019
Last Update Date: 09/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W 7TH ST
FREDERICK MD
21701-4506
US

IV. Provider business mailing address

8215 GLENDALE DR
FREDERICK MD
21702-2923
US

V. Phone/Fax

Practice location:
  • Phone: 240-566-4913
  • Fax:
Mailing address:
  • Phone: 301-668-5867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberCS00006
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: