Provider Demographics
NPI:1235138702
Name:OKEEFFE, MARGARET MARY (NP)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:MARY
Last Name:OKEEFFE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4000 WELLNESS DR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48670-1251
Mailing Address - Country:US
Mailing Address - Phone:989-633-1400
Mailing Address - Fax:989-633-1457
Practice Address - Street 1:4000 WELLNESS DR
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48670-1251
Practice Address - Country:US
Practice Address - Phone:989-633-1400
Practice Address - Fax:989-633-1457
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-18
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704214627363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily