Basic Information
| Provider Information | |||||||||
| NPI: | 1891028213 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DANN | ||||||||
| FirstName: | MARGARET | ||||||||
| MiddleName: | RL | ||||||||
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| Credential: | RN, MSN, FPMHNP-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 250 BON AIR RD | ||||||||
| Address2: | SUITE 2432 | ||||||||
| City: | GREENBRAE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 949041702 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4154732538 | ||||||||
| FaxNumber: | 4154736033 | ||||||||
| Practice Location | |||||||||
| Address1: | 250 BON AIR RD | ||||||||
| Address2: | SUITE 2432 | ||||||||
| City: | GREENBRAE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 949041702 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4154732538 | ||||||||
| FaxNumber: | 4154736033 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/16/2009 | ||||||||
| LastUpdateDate: | 10/02/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 755079 | CA | N | Nursing Service Providers | Registered Nurse | 363LP0808X | 21121 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health |
No ID Information.