Individual provider · Type 1 NPI
Daisamma Varghese, NP
Family Nurse Practitioner · Ponte Vedra, FL
NPI number
1982948006
Active
Practice location
860 A1AN
Ponte Vedra, FL 32082
Fax (484) 450-2617
Mailing address
161 Washington St Fl 14, Eight Tower Bridge, Suite 1400
Conshohocken, PA 19428-2083
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | ARNP9193498 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1982948006
Daisamma Varghese, NP's National Provider Identifier is 1982948006, issued on Nov 15, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ponte Vedra, FL. The record was last updated on Nov 15, 2012.