Healthcare Provider Details

I. General information

NPI: 1699095026
Provider Name (Legal Business Name): CHRISTOPHER PAUL VARGO CRNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2010
Last Update Date: 07/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 POPLAR CHURCH RD
CAMP HILL PA
17011-2302
US

IV. Provider business mailing address

680 BLAIR MILL RD
HORSHAM PA
19044-2223
US

V. Phone/Fax

Practice location:
  • Phone: 717-446-1220
  • Fax:
Mailing address:
  • Phone: 717-446-1220
  • Fax: 888-816-8109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberSP010811
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: