Healthcare Provider Details

I. General information

NPI: 1871718692
Provider Name (Legal Business Name): MARGARET CARR UPTON FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 09/27/2023
Certification Date: 09/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 PARK RD
HARRISONBURG VA
22802-2404
US

IV. Provider business mailing address

1336 NE ORENCO STATION PKWY
HILLSBORO OR
97124-5408
US

V. Phone/Fax

Practice location:
  • Phone: 540-432-4302
  • Fax: 540-432-4099
Mailing address:
  • Phone: 888-227-3312
  • Fax: 971-282-0139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0017138663
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: