Provider Demographics
NPI:1992732309
Name:BOLTON, MARGARET (CNM)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:BOLTON
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:BOLTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:3021 67TH STREET NW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117
Mailing Address - Country:US
Mailing Address - Phone:404-931-2209
Mailing Address - Fax:
Practice Address - Street 1:600 UNIVERSITY ST
Practice Address - Street 2:SUITE 1200
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-1176
Practice Address - Country:US
Practice Address - Phone:206-320-4933
Practice Address - Fax:206-320-4194
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP 60014560367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAQ67929001Medicare UPIN