| Mrs Susanne Margaret Wargo, APRN | |
|
440 N Main St Ste C, Bristol, CT 06010-1902 | |
| (860) 583-5858 | |
| Not Available |
| Full Name | Mrs Susanne Margaret Wargo |
|---|---|
| Gender | Female |
| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Adult |
| Location | 440 N Main St Ste C, Bristol, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710145842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | R28909 (Connecticut) | Secondary |
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | 001048 (Connecticut) | Primary |
| Entity Name | Bristol Hospital Multi-specialty Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649265679 PECOS PAC ID: 9032014758 Enrollment ID: O20031204000960 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Susanne Margaret Wargo, APRN 440 N Main St Ste C, Bristol, CT 06010-1902 Ph: (860) 583-5858 | Mrs Susanne Margaret Wargo, APRN 440 N Main St Ste C, Bristol, CT 06010-1902 Ph: (860) 583-5858 |
Mary Fiorello, APRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 440 N Main St, Suite D, Bristol, CT 06010 Phone: 860-314-2052 Fax: 860-314-2054 | |
John Wright, PMHNP Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 420 N Main St, Bristol, CT 06010 Phone: 860-583-5858 |