Provider Demographics
NPI:1831062538
Name:VARGAS, ANNA HAYDEN WHITWORTH (APRN)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:HAYDEN WHITWORTH
Last Name:VARGAS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1149 SAINT CLAIR AVE
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-4143
Mailing Address - Country:US
Mailing Address - Phone:434-981-4763
Mailing Address - Fax:
Practice Address - Street 1:1149 SAINT CLAIR AVE
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-4143
Practice Address - Country:US
Practice Address - Phone:434-981-4763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024194649363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily