Individual provider · Type 1 NPI

Benita Shaji Varghese

Family Nurse Practitioner · Ridgewood, NJ

NPI number 1386209229 Active

Practice location

223 N Van Dien Ave
Ridgewood, NJ 07450-2726

Mailing address

1 Garrett Ct
Chestnut Ridge, NY 10977-6739

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X26NJ00897300 (NJ)

Family Nurse Practitioner: Definition to come...

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About NPI 1386209229

Benita Shaji Varghese's National Provider Identifier is 1386209229, issued on May 7, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ridgewood, NJ. The record was last updated on May 7, 2019.