1114301801 NPI number — MARGARET CLAIRE NORSWORTHY APRN

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1114301801 NPI number — MARGARET CLAIRE NORSWORTHY APRN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NORSWORTHY
Provider First Name:
MARGARET
Provider Middle Name:
CLAIRE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
APRN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WHITESIDE
Provider Other First Name:
MARGARET
Provider Other Middle Name:
CLAIRE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
APRN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1114301801
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/02/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
300 S 8TH ST
Provider Second Line Business Mailing Address:
STE 480W
Provider Business Mailing Address City Name:
MURRAY
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
42071-2400
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
270-762-1566
Provider Business Mailing Address Fax Number:
270-752-2858

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 S 8TH ST
Provider Second Line Business Practice Location Address:
STE 301E
Provider Business Practice Location Address City Name:
MURRAY
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42071-2400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
270-762-1566
Provider Business Practice Location Address Fax Number:
270-752-2858
Provider Enumeration Date:
07/13/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  3009519 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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