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Individual

ASHA VARGHESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
1180 EAST MAIN STREET, COLUMBUS, OH 43205-1902
(614) 645-5535
(614) 645-5546
Mailing address
PO BOX 16370, COLUMBUS, OH 43216-6370
(614) 645-5500
(614) 645-5517

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12454NP
OH
363LF0000X
Family Nurse Practitioner
COA.12454NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0068852
OH
Enumeration date
08/25/2011
Last updated
12/06/2012
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