Individual provider · Type 1 NPI

Ann Mary Varghese, C.R.N.P

Nurse Practitioner · Philadelphia, PA

NPI number 1124286299 Active

Practice location

3401 N Broad St
Philadelphia, PA 19140-5103

Fax (215) 707-3831

Mailing address

3509 N Broad St
Philadelphia, PA 19140-4105

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP009846 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1124286299

Ann Mary Varghese, C.R.N.P's National Provider Identifier is 1124286299, issued on May 27, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 26, 2026.