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Individual
SUSAN VARGHESE
Active
Individual
SUSAN VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., ANP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP113138
TX
363LA2200X
Adult Health Nurse Practitioner
699829
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199353701
—
TX
01
—
8N8299
BCBS
TX
01
—
P00317089
RR MEDICARE
TX
Enumeration date
12/01/2006
Last updated
03/08/2023
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