Doctor Name: | JEAN M. VARGAS |
NPI Number: | 1376776823 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, CRRN, CCM, BSN |
License Number: | 4704112449 |
Business Practice Address: | 9670 Sherwood Dr Saline, MI - 481769464 |
Business Phone Number: | 7349442561 |
Business Fax Number: | 7349442561 |
Mailing Address: | Po Box 71, 17500 N. Territorial Rd. CHELSEA |
State: | MI |
Postal Code: | 481180071 |
Phone Number: | 7344759572 |
Fax Number: | |
NPI Enumeration Date: | 09/01/2009 |
NPI Last Update Date: | 10/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 4704112449 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |