Provider Demographics
NPI:1902929987
Name:CUSACK, MARGARET A (MS, RN, FNP-C)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:A
Last Name:CUSACK
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Gender:F
Credentials:MS, RN, FNP-C
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Mailing Address - Street 1:8840 CYPRESS WATERS BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-4780
Mailing Address - Country:US
Mailing Address - Phone:972-876-3214
Mailing Address - Fax:833-437-1270
Practice Address - Street 1:8840 CYPRESS WATERS BLVD STE 150
Practice Address - Street 2:
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-4780
Practice Address - Country:US
Practice Address - Phone:972-876-3214
Practice Address - Fax:833-437-1270
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2024-02-26
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Provider Licenses
StateLicense IDTaxonomies
TX683105363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
8J7775Medicare PIN