Individual
MRS. TRACI RENEE VARGAS
Active
Individual
MRS. TRACI RENEE VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
462956
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
16153
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP16153
BOARD OF NURSING CA
CA
01
—
RN462956
BOARD OF NURSING CA
CA
Enumeration date
03/21/2007
Last updated
06/06/2012
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