Provider Demographics
NPI:1932778297
Name:GOTHARD, MARGARET
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:GOTHARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10580 FREEDOM RDG
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52003-9100
Mailing Address - Country:US
Mailing Address - Phone:608-630-5054
Mailing Address - Fax:888-414-5617
Practice Address - Street 1:10580 FREEDOM RDG
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52003-9100
Practice Address - Country:US
Practice Address - Phone:608-630-5054
Practice Address - Fax:888-414-5617
Is Sole Proprietor?:No
Enumeration Date:2021-06-22
Last Update Date:2025-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA162336363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner