Healthcare Provider Details

I. General information

NPI: 1730322108
Provider Name (Legal Business Name): MARGARET LYNN MAULER CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGARET MAULER MAULER CNP

II. Dates (important events)

Enumeration Date: 04/14/2009
Last Update Date: 02/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6780 MAYFIELD RD
MAYFIELD HEIGHTS OH
44124-2203
US

IV. Provider business mailing address

6780 MAYFIELD RD
MAYFIELD HEIGHTS OH
44124-2203
US

V. Phone/Fax

Practice location:
  • Phone: 440-312-5588
  • Fax:
Mailing address:
  • Phone: 440-312-5588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberCOA.10671-NP
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberRN.286549-COA1
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: