MEDICARE: MRS. SANIL VARGHESE PRAKASH ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	9271651	FL

General Provider Information

NPI Number	:	1154805489
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SANIL VARGHESE PRAKASH ARNP

Provider Business Mailing Address
First Line	:	15175 93RD ST N
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33412-1798
Country	:	US
Telephone Number	:	786-457-8528
Fax Number	:

Provider Business Practice Location Address
First Line	:	15175 93RD ST N
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33412-1798
Country	:	US
Telephone Number	:	786-457-8528
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2018
Last Update Date	:	10/25/2025

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