MEDICARE: ALAINA C VARGAS CPNP

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	363LP0200X	Pediatric Nurse Practitioner	CNP-03446	NM

General Provider Information

NPI Number	:	1629596168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAINA C VARGAS CPNP

Provider Business Mailing Address
First Line	:	502 LUDWIG DR
Second Line	:
City	:	BAYFIELD
State	:	CO
Zip	:	81122-9397
Country	:	US
Telephone Number	:	719-201-5645
Fax Number	:

Provider Business Practice Location Address
First Line	:	61 BROADWAY RM 1313
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10006-2754
Country	:	US
Telephone Number	:	914-919-9200
Fax Number	:

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

Provider Enumeration Date	:	09/05/2017
Last Update Date	:	09/24/2025

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