# SHANTY VARUGHESE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366962300
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WW0101X | Ambulatory Women's Health Care Registered Nurse | R0072132 | OK | — |
| 363L00000X | Nurse Practitioner | 72132 | OK | Yes |

## Other

- **Enumeration date:** 06/21/2017
- **Last updated:** 08/27/2018