Provider Demographics
NPI:1750748679
Name:VARGAS, ANA (FNP)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:VARGAS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33569 WESTGATE CIR UNIT 4
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-6507
Mailing Address - Country:US
Mailing Address - Phone:443-235-3875
Mailing Address - Fax:
Practice Address - Street 1:230 MITCHELL ST
Practice Address - Street 2:
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-9402
Practice Address - Country:US
Practice Address - Phone:302-853-0268
Practice Address - Fax:833-875-0113
Is Sole Proprietor?:No
Enumeration Date:2016-01-22
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0011762363LF0000X, 363L00000X
DEL1-0039356376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No376K00000XNursing Service Related ProvidersNurse's Aide
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1750748679OtherN/A