Provider Demographics
NPI:1972608164
Name:WEBER, MARGARET ELLEN (FNP)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:ELLEN
Last Name:WEBER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:MARGARET
Other - Middle Name:ELLEN
Other - Last Name:BRON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1691 THE ALAMEDA
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-2203
Mailing Address - Country:US
Mailing Address - Phone:408-287-7532
Mailing Address - Fax:408-287-0405
Practice Address - Street 1:650 N FULTON ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93728-3404
Practice Address - Country:US
Practice Address - Phone:559-488-4900
Practice Address - Fax:559-488-4999
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP 10736363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology