Provider Demographics
NPI:1548520596
Name:VERGARA, CATHY CHRISTINE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:CHRISTINE
Last Name:VERGARA
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4840 SW 116TH PL
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34476-4416
Mailing Address - Country:US
Mailing Address - Phone:352-369-5155
Mailing Address - Fax:
Practice Address - Street 1:4840 SW 116TH PL
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34476-4416
Practice Address - Country:US
Practice Address - Phone:352-834-5996
Practice Address - Fax:352-204-1506
Is Sole Proprietor?:No
Enumeration Date:2012-05-24
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9202636363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology