Healthcare Provider Details

I. General information

NPI: 1205939287
Provider Name (Legal Business Name): MARGARET ELAINE MCLEOD RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 24TH AVE S
NASHVILLE TN
37212-2637
US

IV. Provider business mailing address

PO BOX 210865
NASHVILLE TN
37221-0865
US

V. Phone/Fax

Practice location:
  • Phone: 615-327-4751
  • Fax: 615-340-2334
Mailing address:
  • Phone: 615-646-6353
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number5076
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: