Individual
LATHA VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
902 N RIVERSIDE RD, STE. 200, SAINT JOSEPH, MO 64507-2518
(816) 271-1301
(816) 271-1302
Mailing address
902 N RIVERSIDE RD, STE. 200, SAINT JOSEPH, MO 64507-2518
(816) 271-1301
(816) 271-1302
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2014004532
MO
Other
Enumeration date
12/31/2014
Last updated
03/12/2015
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