Provider Demographics
NPI:1316221427
Name:VOGEL, JANE E (LPN)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:E
Last Name:VOGEL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8221 FULLER RD
Mailing Address - Street 2:
Mailing Address - City:WATTSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16442-2821
Mailing Address - Country:US
Mailing Address - Phone:814-739-9330
Mailing Address - Fax:
Practice Address - Street 1:8221 FULLER RD
Practice Address - Street 2:
Practice Address - City:WATTSBURG
Practice Address - State:PA
Practice Address - Zip Code:16442-2821
Practice Address - Country:US
Practice Address - Phone:814-739-9330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-07
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN050654L164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse