Provider Demographics
NPI:1437760519
Name:RAFIDIA VARGAS, BIANCA YASMIN (NP)
Entity type:Individual
Prefix:
First Name:BIANCA
Middle Name:YASMIN
Last Name:RAFIDIA VARGAS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 746721
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-6721
Mailing Address - Country:US
Mailing Address - Phone:773-352-1515
Mailing Address - Fax:312-929-0373
Practice Address - Street 1:5818 COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:IN
Practice Address - Zip Code:46320-2607
Practice Address - Country:US
Practice Address - Phone:219-237-5160
Practice Address - Fax:219-321-1935
Is Sole Proprietor?:No
Enumeration Date:2020-08-12
Last Update Date:2025-10-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN71010269A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily