Provider Demographics
NPI:1093792541
Name:VARNEY, PAUL R (MSN ARNP)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:R
Last Name:VARNEY
Suffix:
Gender:M
Credentials:MSN ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2314 45TH CT W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209-5745
Mailing Address - Country:US
Mailing Address - Phone:941-798-9076
Mailing Address - Fax:941-227-4785
Practice Address - Street 1:220 N TUTTLE AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-5229
Practice Address - Country:US
Practice Address - Phone:941-366-0800
Practice Address - Fax:941-227-4785
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1026762363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily