Provider Demographics
NPI:1215991922
Name:BREYMANN, MARGARET E (NP)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:E
Last Name:BREYMANN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 CORBETT RD
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01098-9719
Mailing Address - Country:US
Mailing Address - Phone:413-238-5368
Mailing Address - Fax:413-586-4279
Practice Address - Street 1:18 COMMERCE WAY
Practice Address - Street 2:SUITE 2000
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-1051
Practice Address - Country:US
Practice Address - Phone:413-320-8172
Practice Address - Fax:413-585-8367
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA171880NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP25536Medicare UPIN
MANP3092Medicare ID - Type Unspecified