# SUSAN VARGHESE

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

## Provider details

- **NPI number:** 1982772596
- **Gender:** F
- **Credential:** R.N., ANP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | AP113138 | TX | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | 699829 | TX | — |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 03/08/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 199353701 | — | TX |
| 01 | — | 8N8299 | BCBS | TX |
| 01 | — | P00317089 | RR MEDICARE | TX |