Provider Demographics
NPI:1548002074
Name:MAHER, MARGARET ANN (PHD, RDN)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ANN
Last Name:MAHER
Suffix:
Gender:F
Credentials:PHD, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 14TH ST S
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-4202
Mailing Address - Country:US
Mailing Address - Phone:608-498-1542
Mailing Address - Fax:
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03756-1000
Practice Address - Country:US
Practice Address - Phone:603-308-1488
Practice Address - Fax:603-643-7353
Is Sole Proprietor?:No
Enumeration Date:2024-06-06
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1953133V00000X
RILDN01294133V00000X
NH1551133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered