Provider Demographics
NPI:1679549562
Name:VARGA, DENISE P (CRNA)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:P
Last Name:VARGA
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5806 NORTHSHORE DR
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-4621
Mailing Address - Country:US
Mailing Address - Phone:423-877-4008
Mailing Address - Fax:
Practice Address - Street 1:8208 CARRIAGE XING
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-3264
Practice Address - Country:US
Practice Address - Phone:423-667-3225
Practice Address - Fax:423-892-0720
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN10936367500000X
TNRN71350367500000X
GARN120836367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3053288OtherBCBS
TN3622942Medicaid
TN3053288OtherBCBS
TN3622944Medicare ID - Type Unspecified