Provider Demographics
NPI:1427358324
Name:VARGASON, HILLARY ROSE (RN)
Entity Type:Individual
Prefix:MISS
First Name:HILLARY
Middle Name:ROSE
Last Name:VARGASON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 FLORENCE ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-4902
Mailing Address - Country:US
Mailing Address - Phone:315-246-6377
Mailing Address - Fax:
Practice Address - Street 1:10 FLORENCE ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-4902
Practice Address - Country:US
Practice Address - Phone:315-246-6377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22 620939163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse