Provider Demographics
NPI:1831478791
Name:PARGEON, BECKY ANNE (RN)
Entity type:Individual
Prefix:MS
First Name:BECKY
Middle Name:ANNE
Last Name:PARGEON
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 1:394 EMERALD SHORES CIR.
Mailing Address - Street 2:#304
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-4865
Mailing Address - Country:US
Mailing Address - Phone:407-473-9153
Mailing Address - Fax:
Practice Address - Street 1:394 EMERALD SHORES CIRCLE
Practice Address - Street 2:APT. 304
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-4865
Practice Address - Country:US
Practice Address - Phone:407-473-9153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-10
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9303328163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse