Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Nikolitsa Varvaresou, CNP

Individual provider Nurse Practitioner · NPI 1629221718

MS. Nikolitsa Varvaresou, CNP is a Nurse Practitioner in LA Jolla, California. Qualified in 2008, 18 years ago. Accepts Medicare assignment. Licensed in California, Massachusetts and New Mexico.

Years since qualifying
18
Licensed in
CA, MA, NM
In the registry since
2008
Specialties on file
5
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

9888 Genesee Ave
LA Jolla, CA 92037-1205
Phone: (858) 452-1279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 95036837 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence RN265587 (MA)
Registered Nurse Taxonomy 163W00000X · Licence RN81770 (NM)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence CNP02679 (NM)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN265587 (MA)

Record details

NPI number1629221718
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedNovember 3, 2008
Last updated in NPPESMay 1, 2026
Certification dateMay 1, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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