Individual
MRS. LOVELY SIJJU VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
850 PAPER MILL RD, FAIRVIEW CARE CENTER OF PAPER MILL, GLENSIDE, PA 19038-7833
(215) 233-0920
(215) 673-1894
Mailing address
850 PAPER MILL RD, FAIRVIEW CARE CENTER OF PAPER MILL ROAD, GLENSIDE, PA 19038-7833
(215) 233-0920
(215) 673-1894
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP012066
PA
Other
Enumeration date
07/30/2012
Last updated
03/16/2015
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