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NPI Code Detail

MEDICARE: DIANE MARIE VARGO CNP

MEDICARE:   DIANE MARIE VARGO  CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerNP08317OH

General Provider Information

NPI Number : 1457302705
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANE MARIE VARGO CNP
Provider Business Mailing Address
First Line : 30033 CLEMENS RD
Second Line : CLEVELAND CLINIC
City : WESTLAKE
State : OH
Zip : 44145-1021
Country : US
Telephone Number : 440-899-5555
Fax Number : 440-808-5737
Provider Business Practice Location Address
First Line : 30033 CLEMENS RD
Second Line : CLEVELAND CLINIC
City : WESTLAKE
State : OH
Zip : 44145-1021
Country : US
Telephone Number : 440-899-5555
Fax Number : 440-808-5737
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 07/08/2007

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