Provider Demographics
NPI:1124322573
Name:NARGOSKI, KARI ELIZABETH (PA-C)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:ELIZABETH
Last Name:NARGOSKI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SWOYERSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18704-1318
Mailing Address - Country:US
Mailing Address - Phone:570-283-3301
Mailing Address - Fax:570-283-3304
Practice Address - Street 1:1200 MAIN ST
Practice Address - Street 2:
Practice Address - City:SWOYERSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18704-1318
Practice Address - Country:US
Practice Address - Phone:570-283-3301
Practice Address - Fax:570-283-3304
Is Sole Proprietor?:No
Enumeration Date:2010-12-28
Last Update Date:2020-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOA002573363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant