Provider Demographics
NPI:1285921338
Name:DINKINSGREEN, MARGO (RN BSN)
Entity type:Individual
Prefix:
First Name:MARGO
Middle Name:
Last Name:DINKINSGREEN
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5921 SUNLIGHT MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:SPOTSYLVANIA
Mailing Address - State:VA
Mailing Address - Zip Code:22553-4477
Mailing Address - Country:US
Mailing Address - Phone:703-717-2523
Mailing Address - Fax:
Practice Address - Street 1:5921 SUNLIGHT MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:SPOTSYLVANIA
Practice Address - State:VA
Practice Address - Zip Code:22553-4477
Practice Address - Country:US
Practice Address - Phone:703-717-2523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-08
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001163089163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse