MEDICARE: MARGARET WILLOUGHBY FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	SP026806	PA
2	363LF0000X	Family Nurse Practitioner	0024177965	VA

General Provider Information

NPI Number	:	1407400310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET WILLOUGHBY FNP

Provider Business Mailing Address
First Line	:	1789 S BRADDOCK AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15218-1842
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1789 S BRADDOCK AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15218-1842
Country	:	US
Telephone Number	:	412-247-2310
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2019
Last Update Date	:	02/09/2026

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