Individual provider · Type 1 NPI

Isaias Rodolfo Vargas Jr., CRNP

Gerontology Nurse Practitioner · Victorville, CA

NPI number 1992296545 Active

Practice location

16850 Bear Valley Rd
Victorville, CA 92395-5795

Mailing address

PO Box 1786
Rancho Cucamonga, CA 91729-1786

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600XSP018742 (PA)
Gerontology Nurse Practitioner Primary 363LG0600XNP95011154 (CA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1992296545

Isaias Rodolfo Vargas Jr., CRNP's National Provider Identifier is 1992296545, issued on May 18, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Victorville, CA. The record was last updated on Jun 20, 2023.