Individual
JANICE VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5501 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2074
(405) 535-6868
Mailing address
13916 HUNTER JACKSON DR, YUKON, OK 73099-1017
(405) 535-6868
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
205507
OK
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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