Individual
MS. DIANA VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP, IBCLC
Contact information
Practice address
2771 FREDERICK DOUGLASS BLVD, NEW YORK, NY 10039-3027
(212) 690-0303
Mailing address
PO BOX 95000-4145, PHILADELPHIA, PA 19195-0001
(212) 690-0303
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
142904
NY
163WM0102X
Maternal Newborn Registered Nurse
342448
NY
363L00000X
Nurse Practitioner
F420615
NY
363LW0102X
Women's Health Nurse Practitioner
Primary
F420615
NY
Other
Enumeration date
03/05/2010
Last updated
08/07/2013
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