JISHA S VARGHESE


Address: 3257 Ramblewood Rd, Ellicott City, MD 21042-2445
Phone: 4435189907

JISHA S VARGHESE (NPI# 1881202570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881202570
Entity Type Individual
Full Name JISHA S VARGHESE
Credential A-GNP-C
Practice Address 3257 Ramblewood Rd
Ellicott City
MD 21042-2445
Practice Telephone 4435189907
Mailing Telephone 4435189907
Enumeration Date 2020-07-19
Last Update Date 2020-07-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
R160402 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3257 RAMBLEWOOD RD
City ELLICOTT CITY
State MD
Zip Code 21042-2445

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1093704652 Amy B. Lamparella Nurse Practitioner 4801 Dorsey Hall Dr, Suite 201, Ellicott City, MD 21042-7766 2005-10-17

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Competitor

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City ELLICOTT CITY
Zip Code 21042

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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