Basic Information
Provider Information | |||||||||
NPI: | 1992730972 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | RAWSON | ||||||||
FirstName: | MARGARET | ||||||||
MiddleName: | BRISCOE | ||||||||
NamePrefix: | MS. | ||||||||
NameSuffix: |   | ||||||||
Credential: | WHNP PA C | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: | BAKER | ||||||||
OtherFirstName: | MARGARET | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: | MS. | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: | WHNP PA C | ||||||||
OtherLastNameType: | 1 | ||||||||
Mailing Information | |||||||||
Address1: | 24 MORRILL PL | ||||||||
Address2: |   | ||||||||
City: | AMESBURY | ||||||||
State: | MA | ||||||||
PostalCode: | 019133530 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 9788348074 | ||||||||
FaxNumber: | 9788348077 | ||||||||
Practice Location | |||||||||
Address1: | 2 WATER ST | ||||||||
Address2: | CENTRAL PLAZA | ||||||||
City: | HAVERHILL | ||||||||
State: | MA | ||||||||
PostalCode: | 018306229 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 9785560100 | ||||||||
FaxNumber: | 9785560094 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 07/11/2006 | ||||||||
LastUpdateDate: | 07/25/2011 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LW0102X | 99065 | MA | Y |   | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Women's Health | 363A00000X | 100 | MA | N |   | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |   |
ID Information
ID | Type | State | Issuer | Description | 1992730972 | 01 | MA | NPI | OTHER |