Provider Demographics
NPI:1700849205
Name:HOULEHAN, MARGARET MARY (PA-C)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:MARY
Last Name:HOULEHAN
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:15 BALLARD CT
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27712-2184
Mailing Address - Country:US
Mailing Address - Phone:919-479-9305
Mailing Address - Fax:919-286-6896
Practice Address - Street 1:46 FAIRVIEW AVE STE 111
Practice Address - Street 2:
Practice Address - City:SKOWHEGAN
Practice Address - State:ME
Practice Address - Zip Code:04976-1481
Practice Address - Country:US
Practice Address - Phone:207-474-0905
Practice Address - Fax:207-474-6930
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2024-09-25
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Provider Licenses
StateLicense IDTaxonomies
NC101809363AM0700X
MEPA2664363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC80023PMedicare UPIN