Provider Demographics
NPI:1972671253
Name:CHANEY, MARGARETTE JEAN (RN)
Entity type:Individual
Prefix:MRS
First Name:MARGARETTE
Middle Name:JEAN
Last Name:CHANEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:CLYDE
Mailing Address - State:TX
Mailing Address - Zip Code:79510-4459
Mailing Address - Country:US
Mailing Address - Phone:325-893-2395
Mailing Address - Fax:
Practice Address - Street 1:1021 S 4TH ST
Practice Address - Street 2:
Practice Address - City:CLYDE
Practice Address - State:TX
Practice Address - Zip Code:79510-4459
Practice Address - Country:US
Practice Address - Phone:325-893-2395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX551125163WH0200X, 163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WH0200XNursing Service ProvidersRegistered NurseHome Health
Not Answered163WP0200XNursing Service ProvidersRegistered NursePediatrics