Individual
DR. ROBERT M VARDAMAN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
825 NE 10TH ST # 5B, OKLAHOMA CITY, OK 73104-5417
(405) 271-3635
(405) 271-2523
Mailing address
1601 CUMMINS DR STE D, MODESTO, CA 95358-6411
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
223880
OK
363LA2100X
Acute Care Nurse Practitioner
11020905
FL
363LA2100X
Acute Care Nurse Practitioner
235809
LA
363LA2100X
Acute Care Nurse Practitioner
69138
NM
363LA2100X
Acute Care Nurse Practitioner
RN214917
GA
Other
Enumeration date
02/17/2014
Last updated
03/12/2026
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