Basic Information
Provider Information
NPI: 1871528257
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CARMAN
FirstName: MARGARET
MiddleName: JEAN
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 570 NEW WAVERLY PL
Address2: SUITE 210
City: CARY
State: NC
PostalCode: 27518
CountryCode: US
TelephoneNumber: 9198593373
FaxNumber:  
Practice Location
Address1: 570 NEW WAVERLY PL
Address2: SUITE 210
City: CARY
State: NC
PostalCode: 27718
CountryCode: US
TelephoneNumber: 9198593373
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/12/2006
LastUpdateDate: 05/29/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X110511NCN Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363LA2100X960020NCY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care

No ID Information.


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