Neethu Kattasseri Varghese | Panama City, FL • PECOS Search

Neethu Kattasseri Varghese

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

501 Airport Rd, Panama City, FL 32405-4010

(850) 913-9488 (757) 602-6433

PECOS Enrollment

Based on the most recent information from CMS, provider Neethu Kattasseri Varghese does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1629792742
Provider Type
Individual
Full Name
Kattasseri Varghese, Neethu
Credential
ARNP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/3/2022
Last Updated
10/3/2022

Contact Information

Practice Location

501 Airport Rd, Panama City, FL 32405-4010

Unlisted Fax

Mailing Location

564 Fanning Bayou Dr, Panama City, FL 32409-1741

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 11022182 Florida