Basic Information
Provider Information
NPI: 1386663441
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PLOCHARSKI
FirstName: MARGARET
MiddleName: ANN
NamePrefix: MS.
NameSuffix:  
Credential: NURSE PRACTITIONER
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: THILL
OtherFirstName: MARGARET
OtherMiddleName: ANN
OtherNamePrefix: MRS.
OtherNameSuffix:  
OtherCredential: NURSE PRACTITIONER
OtherLastNameType: 5
Mailing Information
Address1: 18119 E CALEY CIR
Address2:  
City: AURORA
State: CO
PostalCode: 800161175
CountryCode: US
TelephoneNumber: 3036178111
FaxNumber:  
Practice Location
Address1: 1055 CLERMONT ST
Address2:  
City: DENVER
State: CO
PostalCode: 802203808
CountryCode: US
TelephoneNumber: 3033998020
FaxNumber: 3033935106
Other Information
ProviderEnumerationDate: 07/19/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X162420COY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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