Provider Demographics
NPI:1346582020
Name:VARGHESE, ASHLY K (RN)
Entity Type:Individual
Prefix:MISS
First Name:ASHLY
Middle Name:K
Last Name:VARGHESE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 VIRGINIA RD APT 22C
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10603-1426
Mailing Address - Country:US
Mailing Address - Phone:914-393-7414
Mailing Address - Fax:
Practice Address - Street 1:70 VIRGINIA RD APT 22C
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10603-1426
Practice Address - Country:US
Practice Address - Phone:914-393-7414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY635902-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse