Provider Demographics
NPI:1578767190
Name:VARGAS, EVELYN (RN)
Entity Type:Individual
Prefix:MS
First Name:EVELYN
Middle Name:
Last Name:VARGAS
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 1:11 ANDERSON CT
Mailing Address - Street 2:
Mailing Address - City:SAYREVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08872-1000
Mailing Address - Country:US
Mailing Address - Phone:732-234-6531
Mailing Address - Fax:732-416-6076
Practice Address - Street 1:11 ANDERSON CT
Practice Address - Street 2:
Practice Address - City:SAYREVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08872-1000
Practice Address - Country:US
Practice Address - Phone:732-234-6531
Practice Address - Fax:732-416-6076
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0098300374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide