Individual provider · Type 1 NPI
Ishita Kothari Varma, AGNP
Primary Care Nurse Practitioner · Long Beach, CA
NPI number
1013662030
Active
Practice location
5901 E 7th St
Long Beach, CA 90822-5201
Mailing address
4116 E Addington Dr
Anaheim, CA 92807-2813
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 95017804 (CA) |
| Gerontology Nurse Practitioner | 363LG0600X | 95017804 (CA) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 95017804 (CA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1013662030
Ishita Kothari Varma, AGNP's National Provider Identifier is 1013662030, issued on Feb 17, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Long Beach, CA. The record was last updated on Feb 17, 2022.