Provider Demographics
NPI:1194963058
Name:VAGNONI, JANE DAGGETT (RN)
Entity type:Individual
Prefix:MS
First Name:JANE
Middle Name:DAGGETT
Last Name:VAGNONI
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 1:516 FISHKILL RD
Mailing Address - Street 2:
Mailing Address - City:COLD SPRING
Mailing Address - State:NY
Mailing Address - Zip Code:10516-3714
Mailing Address - Country:US
Mailing Address - Phone:845-265-4376
Mailing Address - Fax:
Practice Address - Street 1:516 FISHKILL RD
Practice Address - Street 2:
Practice Address - City:COLD SPRING
Practice Address - State:NY
Practice Address - Zip Code:10516-3714
Practice Address - Country:US
Practice Address - Phone:845-265-4376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-30
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY290455-1163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health