MEDICARE: MRS. NARCIZA VARZOVAITE

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	363LF0000X	Family Nurse Practitioner	353390	NY
2	363LF0000X	Family Nurse Practitioner	26NJ14973800	NJ

General Provider Information

NPI Number	:	1801658026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NARCIZA VARZOVAITE

Provider Business Mailing Address
First Line	:	66 PARK ST STE 100
Second Line	:
City	:	MONTCLAIR
State	:	NJ
Zip	:	07042-2988
Country	:	US
Telephone Number	:	973-577-3010
Fax Number	:

Provider Business Practice Location Address
First Line	:	66 PARK ST STE 100
Second Line	:
City	:	MONTCLAIR
State	:	NJ
Zip	:	07042-2988
Country	:	US
Telephone Number	:	973-577-3010
Fax Number	:

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

Provider Enumeration Date	:	01/24/2024
Last Update Date	:	08/21/2024

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