National Provider Identifier

Jason A Wargo, LPN

Jason A Wargo, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Macedon, NY and a listed phone number of (585) 734-9176.

NPI 1114360021Macedon, NYLicensed Practical Nurse

Profile Overview

NPI
1114360021
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
April 10, 2013
Last Updated
April 10, 2013

Practice Location

  • 46 W. Main St. Apt. 3
  • Macedon, NY 14502

Phone: (585) 734-9176

Mailing Address

  • 46 W Main St Apt 3
  • Macedon, NY 14502-8219

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1114360021
Entity Type
Individual
Last Name
Wargo
First Name
Jason
Middle Name
A
Name Prefix
Mr.
Credential
LPN
Mailing Street Address
46 W Main St Apt 3
Mailing City
Macedon
Mailing State
NY
Mailing ZIP Code
14502-8219
Mailing Country
US
Mailing Phone
(585) 734-9176
Practice Street Address
46 W. Main St. Apt. 3
Practice City
Macedon
Practice State
NY
Practice ZIP Code
14502
Practice Country
US
Practice Phone
(585) 734-9176
Enumeration Date
April 10, 2013
Last Updated
April 10, 2013
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)