Individual
PROF. MARGARET ELAINE SOUTHWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11725 ILLINOIS ST STE 490, CARMEL, IN 46032-3011
(317) 688-5220
(317) 688-5695
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
71000622A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71000622A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200174630
—
IN
Enumeration date
08/11/2006
Last updated
12/09/2022
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