Provider Demographics
NPI:1215655600
Name:VARGHESE, ANU (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:ANU
Middle Name:
Last Name:VARGHESE
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18231 KILMACOLM DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-4547
Mailing Address - Country:US
Mailing Address - Phone:832-441-5605
Mailing Address - Fax:
Practice Address - Street 1:1111 HIGHWAY 6 STE 150
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4913
Practice Address - Country:US
Practice Address - Phone:281-491-0909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1089537363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily