Individual
TISHA VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN FNP-C
Contact information
Practice address
24 NORTH WALNUT STREET, HAGERSTOWN, MD 21740
(301) 745-3777
Mailing address
9332 PENROSE ST, FREDERICK, MD 21704-7339
(973) 349-8619
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R211076
MD
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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