Healthcare Provider Details

I. General information

NPI: 1497618995
Provider Name (Legal Business Name): MARGOT DRAYCOTT APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2130 EUBANK BLVD NE
ALBUQUERQUE NM
87112-2923
US

IV. Provider business mailing address

520 E 14TH AVE APT 1
DENVER CO
80203-2508
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-2245
  • Fax:
Mailing address:
  • Phone: 347-592-0299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number86975
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: