Individual
CAMILLA C VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-1830
(608) 890-7455
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3851-023
WI
363AM0700X
Medical Physician Assistant
Primary
3851
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265985238
—
WI
Enumeration date
07/26/2016
Last updated
08/08/2022
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