Mary Margarita Bacon in Pembroke - Family
Mary Margarita Bacon - NPI 1245399930
Mary Margarita Bacon is a Family in Pembroke, New Hampshire. Mary Margarita Bacon practices all healthcare services and medical treatments related to Family. The NPI Number for Mary Margarita Bacon is 1245399930. The last update date is 2007-10-30.
Mary Margarita Bacon's current location address is 48 Glass St, Pembroke, New Hampshire. You can contact this provider via phone number 6034857788 and fax number 6034857799. The mailing address for Mary Margarita Bacon is 48 Glass St, Pembroke, New Hampshire. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Margarita Bacon |
|---|---|
| Address | 48 Glass St, Pembroke, New Hampshire |
| Phone Number | 6034857788 |
| Fax Number | 6034857799 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1245399930 |
|---|---|
| Provider Enumeration Date | 2006-12-08 |
| Last Updated Date | 2007-10-30 |
Provider Mailing Address Detail
| Address | 48 Glass St |
|---|---|
| City | Pembroke |
| State | New Hampshire (NH) |
| Post Code | 32751506 |
| Phone Number | 6034857788 |
| Fax Number | 6034857799 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 038972-23-03 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30341583 | NH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Margarita Bacon by the Centers for Medicare & Medicaid Services (CMS)?
The Mary Margarita Bacon has been assigned the NPI (National Provider Identifier) 1245399930. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Mary Margarita Bacon's physical address?
The Mary Margarita Bacon is physically located at 48 Glass St, in the city of Pembroke, NH, with the postal code 32751506.
What is the Mary Margarita Bacon's area of specialization and corresponding taxonomy classification?
The Mary Margarita Bacon's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1245399930 to Mary Margarita Bacon?
The Centers for Medicare & Medicaid Services originally issued the 1245399930 to Mary Margarita Bacon on 2006-12-08.
When was the information pertaining to Mary Margarita Bacon most recently updated or revised?
The details related to Mary Margarita Bacon, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-30.
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