Provider Demographics
NPI:1346085941
Name:KREBS, MARGARET MARY (AGNP)
Entity type:Individual
Prefix:
First Name:MARGARET MARY
Middle Name:
Last Name:KREBS
Suffix:
Gender:F
Credentials:AGNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 W BRISTOL RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-1002
Mailing Address - Country:US
Mailing Address - Phone:215-805-4297
Mailing Address - Fax:
Practice Address - Street 1:1311 BRISTOL PIKE
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-6455
Practice Address - Country:US
Practice Address - Phone:215-632-3500
Practice Address - Fax:215-632-6533
Is Sole Proprietor?:No
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP029870363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology