Provider Demographics
NPI:1962942599
Name:VARGAS, ERIKA VANESSA (ARNP)
Entity type:Individual
Prefix:MISS
First Name:ERIKA
Middle Name:VANESSA
Last Name:VARGAS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:12600 PEMBROKE RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-2544
Mailing Address - Country:US
Mailing Address - Phone:954-435-6211
Mailing Address - Fax:954-435-6212
Practice Address - Street 1:12600 PEMBROKE RD
Practice Address - Street 2:SUITE 206
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33027-2544
Practice Address - Country:US
Practice Address - Phone:954-435-6211
Practice Address - Fax:954-435-6212
Is Sole Proprietor?:No
Enumeration Date:2017-03-01
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP9338962363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily