Individual provider · Type 1 NPI

Mariamma Varghese

Licensed Practical Nurse · Blauvelt, NY

NPI number 1790100774 Active

Practice location

496 Western Hwy
Blauvelt, NY 10913-2000

Mailing address

14 Zabella Dr
New City, NY 10956-7148

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X285890 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1790100774

Mariamma Varghese's National Provider Identifier is 1790100774, issued on Feb 27, 2014. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Blauvelt, NY. The record was last updated on Feb 27, 2014.