Individual
MRS. AJIN VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
325 N CALDWELL ST, STAUNTON, IL 62088-1421
(618) 635-2221
Mailing address
325 N CALDWELL ST, STAUNTON, IL 62088-1421
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209025792
IL
Other
Enumeration date
10/13/2022
Last updated
10/14/2022
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