Healthcare Provider Details

I. General information

NPI: 1053508333
Provider Name (Legal Business Name): MARGARET ANN CONNORS CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2007
Last Update Date: 01/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15001 SHADY GROVE RD SUITE 220
ROCKVILLE MD
20850-6352
US

IV. Provider business mailing address

15001 SHADY GROVE RD
ROCKVILLE MD
20850-6352
US

V. Phone/Fax

Practice location:
  • Phone: 301-545-1288
  • Fax:
Mailing address:
  • Phone: 301-545-1288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberR167391
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: