Healthcare Provider Details
I. General information
NPI: 1639623085
Provider Name (Legal Business Name): MONICA VARGAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/14/2016
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
153 E WASHINGTON ST
NORTH ATTLEBORO MA
02760-2312
US
IV. Provider business mailing address
526 MAIN ST STE 302
ACTON MA
01720-3310
US
V. Phone/Fax
- Phone: 508-699-7546
- Fax: 508-699-7570
- Phone: 978-371-7010
- Fax: 978-371-0522
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | RN285181 |
| License Number State | MA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | RN285181 |
| License Number State | MA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: