Provider Demographics
NPI:1114317286
Name:SPARGO, JOHN DAVID (MSN; FNP-BC)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:DAVID
Last Name:SPARGO
Suffix:
Gender:M
Credentials:MSN; FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6288B ARLINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-2801
Mailing Address - Country:US
Mailing Address - Phone:703-229-0660
Mailing Address - Fax:
Practice Address - Street 1:6288 ARLINGTON BLVD
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044
Practice Address - Country:US
Practice Address - Phone:703-229-0660
Practice Address - Fax:540-338-1975
Is Sole Proprietor?:No
Enumeration Date:2015-01-28
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1052736363LF0000X
VA0024172279363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0024172279OtherVIRGINIA BOARD OF NURSING
DCRN1052736OtherDC HEALTH BOARD OF NURSING