Basic Information
Provider Information
NPI: 1730791880
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MARGERISON
FirstName: ALEXANDRIA
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 24 MORRILL PL STE 2
Address2:  
City: AMESBURY
State: MA
PostalCode: 019133530
CountryCode: US
TelephoneNumber: 9788348074
FaxNumber:  
Practice Location
Address1: 255 LOW ST STE 101
Address2:  
City: NEWBURYPORT
State: MA
PostalCode: 019503596
CountryCode: US
TelephoneNumber: 9782554607
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/20/2020
LastUpdateDate: 04/14/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/14/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000X  N Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 
367A00000XRN2305273MAY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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