Provider Demographics
NPI:1730242934
Name:VARGA, ARDITH A (RN BSN)
Entity type:Individual
Prefix:MRS
First Name:ARDITH
Middle Name:A
Last Name:VARGA
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:MISS
Other - First Name:ARDITH
Other - Middle Name:ANNE
Other - Last Name:KUIST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:SUNNYSIDE UNIFIED SCHOOL DISTRICT NO 12
Mailing Address - Street 2:2238 E GINTER ROAD
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:95706
Mailing Address - Country:US
Mailing Address - Phone:520-545-2137
Mailing Address - Fax:520-545-2120
Practice Address - Street 1:SUNNYSIDE UNIFIED SCHOOL DISTRICT NO 12
Practice Address - Street 2:2238 E GINTER ROAD
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85706
Practice Address - Country:US
Practice Address - Phone:520-545-2137
Practice Address - Fax:520-545-2120
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN022624163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ574526Medicaid