Persephone Vargas APN BC

NPI 1093702342 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1093702342
Gender Female
Enumeration Date 10/03/2005
Last Updated 06/25/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
741 NORTHFIELD AVE
SUITE 205
WEST ORANGE NJ, 07052-1174, US
Phone (974) 467-1544
Fax (973) 467-9583
Business Location
741 NORTHFIELD AVE
SUITE 205
WEST ORANGE NJ, 07052-1174, US
Phone (974) 467-1544
Fax (973) 467-9583
Toxanomy
Taxonomy Code 363L00000X
License State New Jersey
License Number 26NJ00008000
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According to our database, Persephone Vargas APN BC NPI is 1093702342, taxonomy code is 363L00000X and license number is 26NJ00008000, license state is located at New Jersey. Persephone Vargas APN BC physically located at 741 Northfield Ave, West Orange NJ, 07052-1174. NPI Number Persephone Vargas APN BC has the Individual type.

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1093702342 NPI number is provided on an as is basis without warranty of any kind. 1093702342 is maintained by the National Plan & Provider Enumeration System. The contents of Persephone Vargas APN BC are for informational purposes only.