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Elizabeth Varghese

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

525 Technology Park Ste 109, Lake Mary, FL 32746-7107

PECOS Enrollment

Based on the most recent information from CMS, provider Elizabeth Varghese is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:21 AM.

Profile Details

Provider ID
1184351728
Provider Type
Individual
Full Name
Varghese, Elizabeth
Credential
PMHNP

Gender
Female
Sole Proprietor
No
Enumeration Date
8/3/2022
Last Updated
8/8/2024

Contact Information

Practice Location

525 Technology Park Ste 109, Lake Mary, FL 32746-7107

(407) 647-2346

Unlisted Fax

Mailing Location

525 Technology Park Ste 109, Lake Mary, FL 32746-7107

(407) 647-2346

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LP0808X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11021090 Florida

Elizabeth Varghese

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Wasielewski, Whitley M

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Pierre, Nancy E

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Payne, Jaylen

Smith, Mary Ann

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Denby, Allison