Madras, Mary Margaret

Madras, Mary Margaret is an individual health care provider with primary practice located at 6505 N Illinois St , Fairview Heights IL 62208-2001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Madras, Mary Margaret can be contacted via phone (314) 687-2734.

Contact Information

Primary practice address
6505 N Illinois St Fairview Heights IL 62208-2001
Phone: (314) 687-2734
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 140767 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 140767 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 277000522 Illinois

Profile Details

NPI number 1134158728
LBN Legal business name Madras, Mary Margaret
Credentials APRN,BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Oct 23rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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