Provider Demographics
NPI:1114254554
Name:VARELA, DEJANAE (RN)
Entity Type:Individual
Prefix:
First Name:DEJANAE
Middle Name:
Last Name:VARELA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6401 W 82ND DR
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-1719
Mailing Address - Country:US
Mailing Address - Phone:303-422-5161
Mailing Address - Fax:
Practice Address - Street 1:6401 W 82ND DR
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-1719
Practice Address - Country:US
Practice Address - Phone:303-422-5161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-05
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO175181163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse