Provider Demographics
NPI:1205368917
Name:PROBST, VARVARA (MD)
Entity Type:Individual
Prefix:
First Name:VARVARA
Middle Name:
Last Name:PROBST
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:D-7235 MEDICAL CENTER NORTH 1161 21ST AVE S
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-2581
Mailing Address - Country:US
Mailing Address - Phone:615-322-2250
Mailing Address - Fax:
Practice Address - Street 1:653-1 W 8TH ST FL 4
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32209-6511
Practice Address - Country:US
Practice Address - Phone:904-633-4199
Practice Address - Fax:904-633-4188
Is Sole Proprietor?:No
Enumeration Date:2017-03-31
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program