Individual
MARGARET MCEWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1095 MIDWAY RD, MENASHA, WI 54952-1115
(920) 720-2300
Mailing address
1095 MIDWAY RD, MENASHA, WI 54952-1115
(920) 720-2300
(920) 720-3806
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
836-033
WI
363L00000X
Nurse Practitioner
Primary
836
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
836
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43600300
—
WI
Enumeration date
11/29/2006
Last updated
04/17/2014
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