Provider Demographics
NPI:1124143292
Name:DEMMER, MARGARET(PEG) ANNE (RN, CCRC)
Entity type:Individual
Prefix:MS
First Name:MARGARET(PEG)
Middle Name:ANNE
Last Name:DEMMER
Suffix:
Gender:F
Credentials:RN, CCRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13654 HIDDEN CREEK DR
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MN
Mailing Address - Zip Code:55304-3800
Mailing Address - Country:US
Mailing Address - Phone:763-757-2458
Mailing Address - Fax:
Practice Address - Street 1:MINNEAPOLIS HEART INSTITUTE FOUNDATION
Practice Address - Street 2:920 E 28TH ST., SUITE 40, MAIL STOP 33040
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407
Practice Address - Country:US
Practice Address - Phone:612-863-6066
Practice Address - Fax:612-863-2490
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR 104925-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse