DR. ROBERT VARDAMAN AGACNP NPI 1467876193

NPI Information

  • NPI: 1467876193
  • Provider Name: DR. ROBERT VARDAMAN, AGACNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5151 N 9TH AVE
    PENSACOLA, FL
    ZIP 32504
  • Phone: (850) 416-7000

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NPI Details

DR. Robert Vardaman, AGACNP is an acute care nurse practitioner in Pensacola, FL. DR. Robert Vardaman, AGACNP NPI is 1467876193. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5151 N 9TH AVE
PENSACOLA, FL
ZIP 32504-721
Phone: (850) 416-7000

The NPI 1467876193 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/17/2014 and was last updated on 11/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute CareRN214917GEORGIANo
2363LA2100XNurse PractitionerAcute Care235809LOUISIANANo
3363LA2100XNurse PractitionerAcute Care11020905FLORIDAYes
4363LA2100XNurse PractitionerAcute Care69138NEW MEXICONo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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