Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225000000X | Orthotic Fitter | APN.0002728-C-NP | CO |
Y | 363L00000X | Nurse Practitioner | APN.0002728-C-NP | CO |
N | 363LA2100X | Nurse Practitioner - Acute Care | APN.0002728-C-NP | CO |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | AP132473 | TX |
N | 363LF0000X | Nurse Practitioner - Family Medicine | APN.0002728-C-NP | CO |
NPI | 1962954172 |
---|---|
Provider Name | Margaret Eileen Reardon |
First Address | Colorado Springs, CO 80921-3707 |
Second Address | Colorado Springs, CO 80906-7393 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2016 |
Last Update Date | 24/05/2021 |