Provider Demographics
NPI:1013439934
Name:VARUGHESE, SHEREEN RAJU (AGPCNP-BC)
Entity Type:Individual
Prefix:
First Name:SHEREEN
Middle Name:RAJU
Last Name:VARUGHESE
Suffix:
Gender:F
Credentials:AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 HIDDEN RDG STE 300
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-3801
Mailing Address - Country:US
Mailing Address - Phone:844-388-6541
Mailing Address - Fax:844-452-8151
Practice Address - Street 1:909 HIDDEN RDG STE 300
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-3801
Practice Address - Country:US
Practice Address - Phone:844-388-6541
Practice Address - Fax:844-452-8151
Is Sole Proprietor?:No
Enumeration Date:2017-07-12
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX133176363L00000X, 363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology