Individual
KATRINA JEAN VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
990 ILLINOIS ST, PLYMOUTH, IN 46563-3622
(574) 267-7169
Mailing address
23456 FORRESTVIEW AVE, ELKHART, IN 46517-3632
(574) 596-6896
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71013633A
IN
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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